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General NPI Number Information
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NPI Number | 1003705781
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Entity Type | Organization
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Legal Business Name | SUNBLESS HEALTHCARE SERVICES
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 110 EAST LEXTINGTON STREET
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City | BALTIMORE
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State | MD
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Zip | 21202
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Country | US
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Telephone | 443-985-7383
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Fax |
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Provider Business Mailing Address
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Address Line | 4334 BARTHOLOW RD
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City | SYKESVILLE
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State | MD
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Zip | 21784-9701
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Country | US
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Telephone | 443-985-7383
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Fax | 443-985-7383
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Authorized Official
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Title or Position | CEO
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Name | MR. SUNDAY PAUL IZIOGO
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Credential | RN
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Telephone | 443-985-7383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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