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General NPI Number Information
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NPI Number | 1568826733
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Entity Type | Organization
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Legal Business Name | INGE BENEVOLENT MINISTRIES
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 5205 GWYNN OAK AVE
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City | GWYNN OAK
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State | MD
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Zip | 21207-7183
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Country | US
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Telephone | 410-466-8686
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Fax | 410-466-5949
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Provider Business Mailing Address
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Address Line | 5205 GWYNN OAK AVE
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City | GWYNN OAK
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State | MD
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Zip | 21207-7183
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Country | US
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Telephone | 410-466-8686
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Fax | 410-466-5949
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Authorized Official
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Title or Position | NURSE CHAPLAIN
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Name | ASMA HANIF
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Credential |
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Telephone | 410-466-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18651
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R093471
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R136864
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | D0071810
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License Number State | MD
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