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General NPI Number Information
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NPI Number | 1669020582
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST MEDICAL CARE
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 2500 WRANGLE HILL RD STE 220
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City | BEAR
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State | DE
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Zip | 19701-3837
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Country | US
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Telephone | 302-437-6833
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Fax | 302-455-8550
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Provider Business Mailing Address
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Address Line | 2500 WRANGLE HILL RD STE 220
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City | BEAR
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State | DE
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Zip | 19701-3837
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Country | US
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Telephone | 302-437-6833
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Fax | 302-455-8550
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Authorized Official
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Title or Position | MR
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Name | DR. ERNEST BUH TAMAJONG
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Credential | NP
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Telephone | 307-437-6833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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