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General NPI Number Information
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NPI Number | 1982361358
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Entity Type | Organization
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Legal Business Name | BETA HEALTH WEIGHT MANAGEMENT CENTER AND MEDI SPA LLC
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Dates
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Enumeration Date | 11/20/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 10220 S DOLFIELD RD STE 102
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3660
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Country | US
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Telephone | 443-762-6390
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Fax |
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Provider Business Mailing Address
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Address Line | 5150 GLENN DALE WOODS CT
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City | GLENN DALE
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State | MD
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Zip | 20769-9113
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Country | US
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Telephone | 443-762-6390
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Fax |
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Authorized Official
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Title or Position | DIRETOR
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Name | MS. FLORENCE NDI
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Credential | NURSE PRACTITIONER
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Telephone | 443-762-6390
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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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