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General NPI Number Information
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NPI Number | 1063921336
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Entity Type | Organization
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Legal Business Name | ATTENTIVE HOME CARE,LLC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12210 MALTA LN
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City | BOWIE
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State | MD
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Zip | 20715-1812
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Country | US
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Telephone | 240-486-2779
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Fax |
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Provider Business Mailing Address
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Address Line | 12210 MALTA LN
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City | BOWIE
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State | MD
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Zip | 20715-1812
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Country | US
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Telephone | 240-486-2779
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CAROLINE ENE
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Credential | RN
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Telephone | 240-486-2779
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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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