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NPI Code Detail

MEDICARE: LINZY EKOM TEMOH

MEDICARE:   LINZY EKOM TEMOH
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

General Provider Information

NPI Number : 1750187324
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINZY EKOM TEMOH
Provider Business Mailing Address
First Line : 5800 ROCKY TRAIL WAY
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-3977
Country : US
Telephone Number : 301-549-8377
Fax Number :
Provider Business Practice Location Address
First Line : 5800 ROCKY TRAIL WAY
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-3977
Country : US
Telephone Number : 301-549-8377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2025
Last Update Date : 02/24/2025

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Directions to “ LINZY EKOM TEMOH ” Practice Location

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