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General NPI Number Information
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NPI Number | 1689122269
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Entity Type | Organization
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Legal Business Name | CHILDREN FIRST COMMUNITY URGENT CARE LLC
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 10236 LAKE ARBOR WAY
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City | BOWIE
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State | MD
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Zip | 20721-3113
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Country | US
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Telephone | 240-274-2637
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Fax | 301-710-5131
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Provider Business Mailing Address
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Address Line | 10236 LAKE ARBOR WAY
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City | BOWIE
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State | MD
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Zip | 20721-3113
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Country | US
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Telephone | 240-274-2637
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Fax | 301-710-5131
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA STEVENS-MORRISON
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Credential | MD
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Telephone | 240-274-2637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | D0050020
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License Number State | MD
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