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General NPI Number Information
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NPI Number | 1528572153
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Entity Type | Organization
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Legal Business Name | FAMILYCHOICE CLINIC LLC
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 12/30/2023
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Provider Practice Location Address
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Address Line | 5513 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-3804
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Country | US
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Telephone | 667-212-2568
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Fax | 667-212-2682
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Provider Business Mailing Address
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Address Line | 5513 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-3804
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Country | US
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Telephone | 667-212-2682
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Fax | 443-835-1446
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARGARET TEMITAYO OWOLABI
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Credential | DNP
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Telephone | 443-825-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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