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General NPI Number Information
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NPI Number | 1619463791
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Entity Type | Organization
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Legal Business Name | WE CARE CLINIC
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 9 CHESTER PLZ
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City | CHESTER
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State | MD
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Zip | 21619-2418
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Country | US
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Telephone | 410-417-7709
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Fax |
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Provider Business Mailing Address
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Address Line | 656 KIMBERLY WAY
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2400
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Country | US
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Telephone | 410-924-7879
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MS. BONNIE HAVEN VELEZ
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Credential | CRNP
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Telephone | 141-092-4787
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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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