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General NPI Number Information
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NPI Number | 1669266938
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Entity Type | Organization
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Legal Business Name | CHIEF HEALTH & READINESS, LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 7919B ELIZABETH RD
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City | PASADENA
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State | MD
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Zip | 21122-2311
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Country | US
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Telephone | 410-507-9449
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Fax | 469-242-9596
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Provider Business Mailing Address
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Address Line | 7919B ELIZABETH RD
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City | PASADENA
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State | MD
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Zip | 21122-2311
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Country | US
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Telephone | 410-507-9449
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Fax | 469-242-9596
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Authorized Official
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Title or Position | CERTIFIED REGISTERED NURSE PRACTITI
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Name | MRS. MEGAN L JENDROSSEK
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Credential | CRNP, AGNP-C
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Telephone | 410-507-9449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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