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General NPI Number Information
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NPI Number | 1083969505
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE HOME HEALTH
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 8108 HARFORD RD SUITE B
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City | BALTIMORE
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State | MD
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Zip | 21234-9201
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Country | US
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Telephone | 410-665-7566
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Fax | 410-665-7558
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Provider Business Mailing Address
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Address Line | 8108 HARFORD RD SUITE B
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City | BALTIMORE
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State | MD
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Zip | 21234-9201
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Country | US
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Telephone | 410-665-7566
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Fax | 410-665-7558
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MARGARET COLLINS
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Credential | RN
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Telephone | 410-665-8931
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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 | MDCCCHH
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License Number State | MD
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