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General NPI Number Information
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NPI Number | 1619848306
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Entity Type | Organization
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Legal Business Name | LND COFFEE LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 18 HOLLAND HILL CT
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City | BALTIMORE
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State | MD
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Zip | 21228-3669
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Country | US
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Telephone | 410-689-9976
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Fax |
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Provider Business Mailing Address
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Address Line | 208 PRESTON CT APT D
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City | CATONSVILLE
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State | MD
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Zip | 21228-2331
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Country | US
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Telephone | 410-689-9976
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Fax |
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Authorized Official
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Title or Position | FOUNDER & DIRECTOR
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Name | MR. YACOB KAHSAI ZEMO
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Credential |
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Telephone | 480-326-4604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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