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General NPI Number Information
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NPI Number | 1669371019
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Entity Type | Organization
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Legal Business Name | PRIMEMED LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 815 HYDE RD
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City | SILVER SPRING
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State | MD
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Zip | 20902-3047
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Country | US
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Telephone | 301-244-8557
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Fax |
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Provider Business Mailing Address
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Address Line | 6815 MAURLEEN RD
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City | BALTIMORE
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State | MD
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Zip | 21209-1422
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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 | ELIYAHU WIENER
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Credential |
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Telephone | 410-499-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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