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General NPI Number Information
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NPI Number | 1831007145
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Entity Type | Organization
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Legal Business Name | SCPG 2420 LLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 6821 REISTERSTOWN RD STE 207
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City | BALTIMORE
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State | MD
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Zip | 21215-1482
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Country | US
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Telephone | 410-764-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 5473 BLAIR RD STE 100
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City | DALLAS
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State | TX
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Zip | 75231-4227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | UMAR FAROOQ
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Credential |
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Telephone | 410-764-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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