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General NPI Number Information
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NPI Number | 1659192623
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Entity Type | Organization
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Legal Business Name | ADFINITAS HEALTH PALLIATIVE SERVICES, LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 2200 KERNAN DR
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City | GWYNN OAK
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State | MD
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Zip | 21207-6665
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Country | US
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Telephone | 410-448-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69231
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City | BALTIMORE
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State | MD
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Zip | 21264-9231
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Country | US
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Telephone | 443-949-0814
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Fax | 443-292-6814
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Authorized Official
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Title or Position | CFO
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Name | TIM DELBRUGGE
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Credential |
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Telephone | 301-693-8707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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