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General NPI Number Information
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NPI Number | 1467328864
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Entity Type | Organization
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Legal Business Name | PRIMECARE INTERNAL MEDICINE ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 2059 BALTIMORE BLVD
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City | FINKSBURG
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State | MD
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Zip | 21048-1301
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Country | US
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Telephone | 443-850-2323
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Fax | 410-941-2766
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Provider Business Mailing Address
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Address Line | 2059 BALTIMORE BLVD
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City | FINKSBURG
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State | MD
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Zip | 21048-1301
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Country | US
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Telephone | 443-850-2323
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Fax | 410-941-2766
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Authorized Official
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Title or Position | MD
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Name | BERNARD A MBEBOH
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Credential | MD
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Telephone | 443-850-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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