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General NPI Number Information
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NPI Number | 1437651742
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Entity Type | Organization
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Legal Business Name | TOTAL YOU INTEGRATIVE HEALTHCARE INC
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 9135 PISCATAWAY RD STE 410
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City | CLINTON
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State | MD
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Zip | 20735
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Country | US
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Telephone | 240-348-7860
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Fax | 240-348-7861
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Provider Business Mailing Address
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Address Line | 9135 PISCATAWAY RD STE 410
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City | CLINTON
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State | MD
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Zip | 20735-2555
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Country | US
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Telephone | 240-348-7860
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Fax | 240-348-7861
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AMOS WILLIAMS
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Credential |
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Telephone | 240-348-7860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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