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General NPI Number Information
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NPI Number | 1871448050
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Entity Type | Organization
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Legal Business Name | PRIMECARE TRANSIT, LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 15228 N BERWICK LN
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-9029
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Country | US
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Telephone | 240-962-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 4450 MITCHELLVILLE RD # 1286
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City | BOWIE
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State | MD
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Zip | 20716-3112
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Country | US
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Telephone | 240-962-5995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WALTER GREEN
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Credential |
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Telephone | 240-962-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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