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General NPI Number Information
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NPI Number | 1821699059
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Entity Type | Organization
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Legal Business Name | THE KINDCARE LLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 2 EAST ROLLING CROSSROADS STE 152
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City | CATONSVILLE
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State | MD
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Zip | 21228
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Country | US
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Telephone | 443-893-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 6812 REAL PRINCESS LN
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City | GWYNN OAK
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State | MD
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Zip | 21207-4496
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Country | US
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Telephone | 443-893-1004
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UCHECHI IFEOMA ASIEGBU
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Credential | FNP-BC
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Telephone | 443-893-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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