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NPI Code Detail

MEDICARE: CHARLES TAMON

MEDICARE: CHARLES TAMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2374U00000XHome Health Aide
3372600000XAdult Companion

General Provider Information

NPI Number : 1225721426
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES TAMON
Provider Business Mailing Address
First Line : 417 PRITCHARD LN
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-2006
Country : US
Telephone Number : 301-642-3267
Fax Number :
Provider Business Practice Location Address
First Line : 417 PRITCHARD LN
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-2006
Country : US
Telephone Number : 301-642-3267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2023
Last Update Date : 02/05/2024

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