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General NPI Number Information
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NPI Number | 1699410902
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Entity Type | Organization
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Legal Business Name | CAREMAX HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 4200 PARLIAMENT PL STE 430
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City | LANHAM
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State | MD
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Zip | 20706-1852
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Country | US
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Telephone | 301-633-6686
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Fax | 301-970-4704
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Provider Business Mailing Address
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Address Line | 4200 PARLIAMENT PL STE 430
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City | LANHAM
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State | MD
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Zip | 20706-1852
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Country | US
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Telephone | 301-633-6686
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Fax | 301-970-4704
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IFEANYI HENRIETTA ADEBUSOYE
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Credential |
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Telephone | 301-633-6686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number |
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License Number State |
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