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General NPI Number Information
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NPI Number | 1598023194
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST MEDICAL CARE LLC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 9650 SANTIAGO RD STE 6
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City | COLUMBIA
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State | MD
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Zip | 21045-3960
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Country | US
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Telephone | 410-992-7005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6303
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-0303
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Country | US
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Telephone | 866-241-1629
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Fax | 866-343-0694
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MAGGIE FUNK
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Credential |
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Telephone | 410-469-7905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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