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General NPI Number Information
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NPI Number | 1417601238
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Entity Type | Organization
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Legal Business Name | FRESHAIR HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 28 TOLLGATE RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3348
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Country | US
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Telephone | 832-434-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 5004 HONEYGO CENTER DR STE 102
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City | PERRY HALL
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State | MD
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Zip | 21128-8964
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Country | US
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Telephone | 832-434-8900
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Fax |
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Authorized Official
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Title or Position | CRNP-PMH, CRNP-ADULT
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Name | GRACE EMASEALU
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Credential | DNP
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Telephone | 832-434-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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