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General NPI Number Information
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NPI Number | 1780068163
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Entity Type | Organization
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Legal Business Name | WELL MANAGED CARE LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 2853 STRAUSS TER
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City | SILVER SPRING
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State | MD
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Zip | 20904-7148
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Country | US
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Telephone | 443-455-0357
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Fax |
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Provider Business Mailing Address
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Address Line | 2853 STRAUSS TER
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City | SILVER SPRING
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State | MD
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Zip | 20904-7148
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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 | CEO/ PRESIDENT
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Name | LAKEL EBB
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Credential | RN BSN
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Telephone | 443-455-0357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | RN1020205
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License Number State | DC
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