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General NPI Number Information
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NPI Number | 1841088713
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Entity Type | Organization
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Legal Business Name | ENDEAVOUR HEALTHCARE LLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1 PRICE DR
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City | ELKTON
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State | MD
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Zip | 21921-6731
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Country | US
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Telephone | 443-275-9164
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Fax |
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Provider Business Mailing Address
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Address Line | 913 SOUTHERLY RD APT 264
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City | TOWSON
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State | MD
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Zip | 21204-2629
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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 | OWNER
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Name | DEV BASU
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Credential |
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Telephone | 413-794-8490
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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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