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General NPI Number Information
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NPI Number | 1063973782
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Entity Type | Organization
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Legal Business Name | 1ST ADULT N PEDIATRIC HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 4915 SAINT ELMO AVE STE 201
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City | BETHESDA
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State | MD
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Zip | 20814-6089
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Country | US
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Telephone | 301-383-9755
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Fax | 301-560-4920
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Provider Business Mailing Address
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Address Line | 4915 SAINT ELMO AVE STE 201
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City | BETHESDA
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State | MD
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Zip | 20814-6089
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Country | US
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Telephone | 301-383-9755
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Fax | 301-560-4920
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Authorized Official
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Title or Position | COO
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Name | CAROLYN ELIZABETH BRYANT -TAYLOR
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Credential |
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Telephone | 240-416-1272
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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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