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General NPI Number Information
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NPI Number | 1639700172
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Entity Type | Organization
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Legal Business Name | FIRST CALL MEDICAL CENTER GAMBRILLS
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 1071 MD RT 3 N STE 101
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City | GAMBRILLS
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State | MD
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Zip | 21054-1784
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Country | US
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Telephone | 410-721-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 SIGNAL BELL LN STE 200
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City | CLARKSVILLE
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State | MD
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Zip | 21029-2608
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Country | US
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Telephone | 410-730-3399
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOOR
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Name | RON ELFENBEIN
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Credential | MD
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Telephone | 410-721-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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