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General NPI Number Information
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NPI Number | 1922924026
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Entity Type | Organization
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Legal Business Name | URBANE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 100 OWINGS CT STE 14
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City | REISTERSTOWN
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State | MD
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Zip | 21136-6433
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Country | US
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Telephone | 929-367-0510
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Fax | 929-367-0511
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Provider Business Mailing Address
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Address Line | 42 AMITY PL
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City | STATEN ISLAND
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State | NY
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Zip | 10303-1713
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Country | US
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Telephone | 929-367-0510
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CLINICAL DIRECTOR
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Name | OMOTARA JOAN ADEWALE
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Credential | NP-C, FNP-BC
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Telephone | 929-367-0510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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