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General NPI Number Information
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NPI Number | 1821622838
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Entity Type | Organization
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Legal Business Name | CIRCLES HEALTHCARE
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 2480 ROXBURY MILLS RD STE 10
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City | GLENWOOD
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State | MD
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Zip | 21738-9718
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Country | US
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Telephone | 443-225-8283
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Fax |
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Provider Business Mailing Address
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Address Line | 9218 WOODCREEK CT
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City | BALTIMORE
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State | MD
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Zip | 21234-1544
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Country | US
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Telephone | 443-225-8283
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SOPHIA FLYNN
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Credential | FNP-BC
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Telephone | 443-225-8283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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