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General NPI Number Information
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NPI Number | 1811649015
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Entity Type | Organization
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Legal Business Name | PATIENT CENTERED HEALTH CARE LLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 6210 FOSTER ST
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747-1206
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Country | US
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Telephone | 240-770-6689
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Fax | 855-451-0224
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Provider Business Mailing Address
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Address Line | 6210 FOSTER ST
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747-1206
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Country | US
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Telephone | 240-770-6689
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Fax | 855-451-0224
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Authorized Official
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Title or Position | PROVIDER
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Name | CAROLINE AINA IBIJEMILUSI
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Credential |
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Telephone | 240-770-6689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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