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General NPI Number Information
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NPI Number | 1396261087
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Entity Type | Organization
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Legal Business Name | ABSOLUTECARE OF MD2, LLC
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 7501 GREENWAY CENTER DRIVE STE 600
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City | GREENBELT
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State | MD
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Zip | 20770-6704
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Country | US
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Telephone | 301-579-3465
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Fax | 404-231-5977
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Provider Business Mailing Address
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Address Line | 10175 LITTLE PATUXENT PKWY STE 800
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City | COLUMBIA
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State | MD
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Zip | 21044-3401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT AND SECRETARY
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Name | DR. GREGORY P FOTI
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Credential | M.D.
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Telephone | 443-738-0225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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