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General NPI Number Information
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NPI Number | 1992688329
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Entity Type | Organization
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Legal Business Name | ASAMCAM HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 7700 OLD BRANCH AVE STE B201
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City | CLINTON
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State | MD
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Zip | 20735-1605
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Country | US
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Telephone | 240-478-4248
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 OLD BRANCH AVE STE B201
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City | CLINTON
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State | MD
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Zip | 20735-1605
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Country | US
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Telephone | 240-478-4248
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MFORNKEM ASAM EYONG
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Credential |
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Telephone | 240-643-2405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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