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General NPI Number Information
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NPI Number | 1043728066
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Entity Type | Organization
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Legal Business Name | REMOTE RECOVERY HEALTHCARE
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 932 GORSUCH AVE APT 107
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City | BALTIMORE
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State | MD
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Zip | 21218-3684
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Country | US
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Telephone | 443-630-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 932 GORSUCH AVE APT 107
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City | BALTIMORE
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State | MD
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Zip | 21218-3684
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Country | US
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Telephone | 443-630-2022
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. KELLIE ROBINSON
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Credential |
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Telephone | 443-630-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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