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General NPI Number Information
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NPI Number | 1740847201
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Entity Type | Organization
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Legal Business Name | SWIFTCARE FAMILY CLINIC AND WELLNESS INC
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 1841/1843 BRIGHTSEAT ROAD
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City | LANDOVER
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State | MD
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Zip | 20785-2078
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Country | US
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Telephone | 301-752-1238
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Fax | 240-691-0279
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Provider Business Mailing Address
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Address Line | 1841 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4250
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Country | US
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Telephone | 301-752-1238
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Fax | 240-691-0279
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Authorized Official
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Title or Position | CEO/FAMILY NURSE PRACTITIONER
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Name | DR. OLUFUNMILAYO SAYO ONUOHA
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Credential | DNP-CRNP
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Telephone | 301-752-1238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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