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General NPI Number Information
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NPI Number | 1912951583
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Entity Type | Organization
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Legal Business Name | HEALTH 1ST MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 902 SETON DR SUITE 303
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City | CUMBERLAND
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State | MD
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Zip | 21502-1873
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Country | US
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Telephone | 301-777-0694
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Fax | 301-777-8321
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Provider Business Mailing Address
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Address Line | 902 SETON DR SUITE 303
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City | CUMBERLAND
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State | MD
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Zip | 21502-1873
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Country | US
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Telephone | 301-777-0694
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Fax | 301-777-8321
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Authorized Official
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Title or Position | OFFICER
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Name | DR. CHRISTOPHER S VAGNONI
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Credential | M.D.
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Telephone | 301-777-0694
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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 | D0059987
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License Number State | MD
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