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General NPI Number Information
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NPI Number | 1952651309
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Entity Type | Individual
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Provider Name | PATIENCE AGBONAVBARE M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 09/21/2024
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Provider Practice Location Address
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Address Line | 100 E CARROLL ST
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 410-543-7536
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Fax |
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Provider Business Mailing Address
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Address Line | 2802 WINTERBOURNE DR UPPR MARLBORO
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-9099
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Country | US
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Telephone | 678-643-9646
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MT201020
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101270712
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D82498
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | CV2005240
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 327513
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101270712
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 26587
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License Number State | WV
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