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General NPI Number Information
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NPI Number | 1043955586
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Entity Type | Organization
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Legal Business Name | FOREVERCARE
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 350 N AURORA ST STE 109
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City | EASTON
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State | MD
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Zip | 21601-3698
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Country | US
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Telephone | 410-443-0708
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Fax | 410-304-7760
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Provider Business Mailing Address
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Address Line | 350 N AURORA ST STE 109
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City | EASTON
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State | MD
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Zip | 21601-3698
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Country | US
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Telephone | 410-443-0708
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Fax | 410-304-7760
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA TURPIN
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Credential |
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Telephone | 443-477-3416
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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