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General NPI Number Information
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NPI Number | 1013557156
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Entity Type | Organization
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Legal Business Name | ABCUC, LLC
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 724 ROCK SPRING RD STE 100
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City | BEL AIR
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State | MD
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Zip | 21014-2945
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Country | US
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Telephone | 410-877-3787
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | FALLSTON
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State | MD
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Zip | 21047-0397
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. TAMARA RILEY
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Credential | BSN,RN-BC
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Telephone | 410-877-3787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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