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General NPI Number Information
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NPI Number | 1700408663
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Entity Type | Organization
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Legal Business Name | BC HEALTHCARE SERVICES
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 1328 SOUTHERN AVE SE STE 205
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City | WASHINGTON
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State | DC
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Zip | 20032-4689
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Country | US
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Telephone | 240-533-2767
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Fax |
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Provider Business Mailing Address
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Address Line | 9319 PLAYER DR
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City | LAUREL
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State | MD
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Zip | 20708-3229
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Country | US
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Telephone | 240-533-2767
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADEBISI O ALLISON
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Credential | NP
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Telephone | 240-533-2767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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