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General NPI Number Information
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NPI Number | 1790836856
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Entity Type | Organization
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Legal Business Name | ARCADIA MEDICAL P.A.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 108 PINE BLUFF RD
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City | SALISBURY
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State | MD
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Zip | 21801-7141
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Country | US
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Telephone | 410-546-9544
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Fax | 410-860-0219
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Provider Business Mailing Address
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Address Line | 108 PINE BLUFF RD
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City | SALISBURY
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State | MD
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Zip | 21801-7141
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Country | US
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Telephone | 410-546-9544
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Fax | 410-860-0219
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Authorized Official
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Title or Position | SECRETARY
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Name | HAZEL MARCELL FOLASHADE
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Credential |
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Telephone | 410-546-9544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MD
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