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General NPI Number Information
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NPI Number | 1982618617
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Entity Type | Organization
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Legal Business Name | FAMILY CARE OF EASTON, LLC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 8579 COMMERCE DRIVE SUITE 106
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City | EASTON
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State | MD
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Zip | 21601-7420
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Country | US
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Telephone | 410-819-0404
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Fax | 410-819-0751
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Provider Business Mailing Address
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Address Line | 8579 COMMERCE DRIVE SUITE 106
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City | EASTON
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State | MD
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Zip | 21601-7420
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Country | US
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Telephone | 410-819-0404
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Fax | 410-819-0751
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Authorized Official
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Title or Position | PARTNER
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Name | SUSAN E DELEAN-BOTKIN
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Credential | CRNP
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Telephone | 410-819-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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