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General NPI Number Information
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NPI Number | 1548955222
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE PRIMARY CARE LLC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2225 OLD EMMORTON RD STE 202
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City | BEL AIR
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State | MD
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Zip | 21015-6123
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Country | US
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Telephone | 410-952-5914
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Fax | 442-787-4939
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Provider Business Mailing Address
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Address Line | 3820 FEDERAL LN
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City | ABINGDON
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State | MD
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Zip | 21009-2700
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Country | US
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Telephone | 410-952-5914
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. KELLY GETZ
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Credential | CRNP-C
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Telephone | 410-952-5914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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