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General NPI Number Information
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NPI Number | 1649178625
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Entity Type | Organization
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Legal Business Name | ETNIA HEALTH LLC
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 306 TODD PL NE APT 4
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City | WASHINGTON
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State | DC
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Zip | 20002-1430
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Country | US
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Telephone | 301-265-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W REDWOOD ST STE 201
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City | BALTIMORE
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State | MD
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Zip | 21201-1708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE ZAMORA
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Credential | FNP-C
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Telephone | 240-481-9132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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