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General NPI Number Information
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NPI Number | 1679096002
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Entity Type | Organization
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Legal Business Name | BEYOND PRIMARY CARE, LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3105 KINGSWAY RD
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-2030
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Country | US
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Telephone | 240-412-5093
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Fax | 667-218-3780
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Provider Business Mailing Address
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Address Line | 3105 KINGSWAY RD
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City | FT WASHINGTON
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State | MD
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Zip | 20744-2030
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Country | US
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Telephone | 240-412-5093
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Fax | 402-823-6931
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | CHERISE RENEE HAGANS
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Credential | CRNP
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Telephone | 240-412-5093
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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 | R161898
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License Number State | MD
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