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General NPI Number Information
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NPI Number | 1730975285
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Entity Type | Organization
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Legal Business Name | EZ HEALTH PRIMARY AND BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 807 E BALTIMORE ST UNIT 1-R
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City | BALTIMORE
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State | MD
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Zip | 21202-4706
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Country | US
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Telephone | 240-245-4164
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Fax |
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Provider Business Mailing Address
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Address Line | 3904 DEEP HOLLOW WAY
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City | BOWIE
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State | MD
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Zip | 20721-1287
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FLORENCE T EZE
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Credential |
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Telephone | 240-245-4164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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