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General NPI Number Information
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NPI Number | 1922673482
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Entity Type | Organization
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Legal Business Name | GREATER BADEN MEDICAL SERVICE, INC.
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 7450 ALBERT ROAD SUITE 131
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City | BRANDYWINE
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State | MD
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Zip | 20613
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Country | US
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Telephone | 240-207-2970
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Fax | 240-213-7091
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Provider Business Mailing Address
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Address Line | 1620 W. NORTHWEST HWY SUITE 100
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 817-572-0009
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Fax | 817-572-0221
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Authorized Official
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Title or Position | CPO
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Name | DR. WYNDY WEBB
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Credential | PHARMD, MBA, PHD
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Telephone | 301-599-2172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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