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General NPI Number Information
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NPI Number | 1851052468
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Entity Type | Organization
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Legal Business Name | CONNECTDCARE FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 888 S STATE ST
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City | DOVER
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State | DE
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Zip | 19901-4148
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Country | US
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Telephone | 302-744-8438
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Fax | 302-744-8425
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Provider Business Mailing Address
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Address Line | 888 S STATE ST
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City | DOVER
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State | DE
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Zip | 19901-4148
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Country | US
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Telephone | 302-744-8438
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Fax | 302-744-8425
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Authorized Official
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Title or Position | PCP
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Name | DR. KEMI FUNLAYO OGUNWUSI
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Credential | DNP, NP
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Telephone | 302-744-8438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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