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General NPI Number Information
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NPI Number | 1841028115
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Entity Type | Organization
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Legal Business Name | OMNIA HEALTH
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | OMNIA HEALTH 15200 SHADY GROVE ROAD, SUITE 205
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City | ROCKVILLE
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State | MD
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Zip | 20850-3218
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Country | US
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Telephone | 646-288-0406
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Fax | 301-576-7843
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Provider Business Mailing Address
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Address Line | 15200 SHADY GROVE ROAD SUITE 205
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City | ROCKVILLE
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State | MD
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Zip | 20850-3218
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Country | US
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Telephone | 646-288-0406
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Fax | 301-576-7843
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Authorized Official
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Title or Position | OWNER
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Name | DOREEN CHEN
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Credential | MD
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Telephone | 646-288-0406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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