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NPI 1720898885

NPI 1720898885 : PADDER HEALTH SERVICES, LLC : COLUMBIA, MD

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General NPI Number Information
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    NPI Number           |    1720898885
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    Entity Type          |    Organization 
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    Legal Business Name  |    PADDER HEALTH SERVICES, LLC 
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Dates
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    Enumeration Date     |    01/10/2025
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    Last Update Date     |    01/31/2025
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Provider Practice Location Address
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    Address Line         |    8860 COLUMBIA 100 PKWY STE 212 
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    City                 |    COLUMBIA
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    State                |    MD
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    Zip                  |    21045-2383
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    Country              |    US
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    Telephone            |    301-560-4747
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    Fax                  |    301-776-1725
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Provider Business Mailing Address
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    Address Line         |    7350 VAN DUSEN RD STE 130 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20707-5267
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    Country              |    US
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    Telephone            |    301-560-4747
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    Fax                  |    301-776-1725
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Authorized Official
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    Title or Position    |    FOUNDER/CEO
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    Name                 |     FEROZ AHMAD PADDER 
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    Credential           |    MD
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    Telephone            |    301-560-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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