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General NPI Number Information
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NPI Number | 1548876386
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Entity Type | Organization
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Legal Business Name | THE ZETT FOUNDATION LNCORPORATED
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 1610 GEORGE AVE
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City | SEVERN
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State | MD
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Zip | 21144-3206
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Country | US
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Telephone | 443-255-5361
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 ALGONQUIN RD
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City | CROWNSVILLE
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State | MD
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Zip | 21032-2100
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Country | US
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Telephone | 410-404-0473
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MR. HAROLD BYDUME
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Credential |
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Telephone | 410-404-0473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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