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General NPI Number Information
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NPI Number | 1801743042
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 25 CROSSROADS DR
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5421
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Country | US
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Telephone | 301-869-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 627 WINDRIFT DR
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City | DALLAS
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State | GA
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Zip | 30132-9094
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Country | US
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Telephone | 678-986-2220
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JULIE HILTON
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Credential |
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Telephone | 678-986-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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