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General NPI Number Information
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NPI Number | 1932091196
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Entity Type | Organization
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Legal Business Name | MENDLIFE MD LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 9920 FRANKLIN SQUARE DR STE 220
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4985
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Country | US
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Telephone | 410-653-4002
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Fax | 225-666-0803
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Provider Business Mailing Address
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Address Line | 9920 FRANKLIN SQUARE DR STE 220
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4985
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Country | US
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Telephone | 410-653-4002
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Fax | 225-666-0803
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Authorized Official
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Title or Position | OWNER
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Name | MAX ALEXANDER BRODSKY
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Credential | MD
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Telephone | 443-418-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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License Number State |
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