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General NPI Number Information
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NPI Number | 1831615384
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Entity Type | Organization
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Legal Business Name | ADORN MEDICAL CARE SERVICES
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 4514 BENNING RD SE
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City | WASHINGTON
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State | DC
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Zip | 20019-5149
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Country | US
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Telephone | 202-800-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 110801 BISHOPS CONTENT RD
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City | BOWIE
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State | MD
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Zip | 20721-2570
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Country | US
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Telephone | 301-792-0816
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIZABETH VEBANGSI
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Credential |
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Telephone | 240-486-2783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN963620
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License Number State | DC
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