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General NPI Number Information
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NPI Number | 1407406440
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Entity Type | Organization
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Legal Business Name | HEALTH THINK LLC
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 224 E BROADWAY
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City | BEL AIR
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State | MD
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Zip | 21014-2906
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Country | US
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Telephone | 410-329-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 224 E BROADWAY
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City | BEL AIR
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State | MD
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Zip | 21014-2906
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Country | US
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Telephone | 410-329-4818
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/PCP
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Name | MRS. PETREL MARTIN-HALL
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Credential | FNP-C
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Telephone | 410-329-4818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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