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General NPI Number Information
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NPI Number | 1790505832
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Entity Type | Organization
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Legal Business Name | MEDICACY LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 2411 CROFTON LN # 26A
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City | CROFTON
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State | MD
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Zip | 21114-1304
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Country | US
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Telephone | 888-899-9933
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Fax | 443-345-3021
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Provider Business Mailing Address
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Address Line | 2411 CROFTON LN # 26A
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City | CROFTON
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State | MD
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Zip | 21114-1304
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Country | US
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Telephone | 888-899-9933
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Fax | 443-345-3021
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Authorized Official
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Title or Position | MANAGER
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Name | DEEPAK KAPUR
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Credential |
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Telephone | 888-899-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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