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General NPI Number Information
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NPI Number | 1578649695
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH CARE
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1501 W SARATOGA ST
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City | BALTIMORE
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State | MD
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Zip | 21223-1749
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Country | US
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Telephone | 410-383-8300
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Fax | 410-383-3158
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Provider Business Mailing Address
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Address Line | 10211 SHIRLEY MEADOW CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-4834
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Country | US
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Telephone | 410-461-2786
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Fax | 410-383-3158
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. ZOHRA KHALID
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Credential | M.D
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Telephone | 410-461-2786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | D44637
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License Number State | MD
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