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General NPI Number Information
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NPI Number | 1487796835
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Entity Type | Organization
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Legal Business Name | TEAM CRITICAL CARE LLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 8041 CESSNA AVE SUITE 200
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City | GAITHERSBURG
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State | MD
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Zip | 20879-4169
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Country | US
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Telephone | 301-740-8550
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Fax | 301-740-7442
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Provider Business Mailing Address
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Address Line | 8041 CESSNA AVE SUITE 200
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City | GAITHERSBURG
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State | MD
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Zip | 20879-4169
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Country | US
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Telephone | 301-740-8550
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Fax | 301-740-7442
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MR. MICHAEL BRUCE NORTON
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Credential |
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Telephone | 301-740-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 123
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License Number State | MD
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