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General NPI Number Information
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NPI Number | 1992618946
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Entity Type | Organization
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Legal Business Name | APEX FAMILY CLINIC LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 1300 CARAWAY CT
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5461
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Country | US
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Telephone | 301-537-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 CARAWAY CT STE 206
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5462
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Country | US
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Telephone | 757-646-7846
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Fax |
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Authorized Official
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Title or Position | PRACTICE DIRECTOR
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Name | TEFERA TESSEMA
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Credential |
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Telephone | 757-646-7846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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