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General NPI Number Information
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NPI Number | 1942073531
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Entity Type | Organization
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Legal Business Name | INSIGHT MEDICAL CENTER LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1531 S EDGEWOOD ST STE C
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City | BALTIMORE
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State | MD
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Zip | 21227-1138
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Country | US
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Telephone | 443-415-8427
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Fax |
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Provider Business Mailing Address
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Address Line | 528 DUSK VIEW DR
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-2368
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Country | US
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Telephone | 443-415-8427
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADEDAYO B AKINLOFA
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Credential | DNP, CRNP
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Telephone | 443-415-8427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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