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General NPI Number Information
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NPI Number | 1548475312
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Entity Type | Organization
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Legal Business Name | RAPID MEDICAL
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 2414 WESTCHESTER AVE
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City | OELLA
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State | MD
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Zip | 21043-4749
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Country | US
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Telephone | 410-480-3818
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Fax | 410-480-3812
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Provider Business Mailing Address
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Address Line | 2414 WESTCHESTER AVE
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City | OELLA
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State | MD
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Zip | 21043-4749
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Country | US
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Telephone | 410-480-3818
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Fax | 410-480-3812
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN GREENE
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Credential |
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Telephone | 410-480-3818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 03184885
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License Number State | MD
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