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General NPI Number Information
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NPI Number | 1720794795
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Entity Type | Organization
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Legal Business Name | ROTACARE MARYLAND INC.
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 3202 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 888-880-3202
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Fax |
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Provider Business Mailing Address
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Address Line | 3202 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 888-880-3202
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ CEO/ DIRECTOR
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Name | DR. PALLAVI GOWDA
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Credential | DO
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Telephone | 888-880-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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