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General NPI Number Information
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NPI Number | 1053256560
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Entity Type | Organization
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Legal Business Name | HEPTAGON HEALTHCARE
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 3803 KILBURN RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4619
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Country | US
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Telephone | 443-929-9775
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Fax | 443-929-9775
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Provider Business Mailing Address
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Address Line | 3505 FOXCLIFF CT APT 202
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4926
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Country | US
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Telephone | 443-929-9775
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Fax | 443-929-9775
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Authorized Official
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Title or Position | MANAGING DIRECTOR/CEO
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Name | THERESA AMEH
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Credential | MD
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Telephone | 443-929-9775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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