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General NPI Number Information
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NPI Number | 1104092444
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Entity Type | Organization
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Legal Business Name | ULTIMATE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 6937 LAMONT DR
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City | LANHAM
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State | MD
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Zip | 20706-4606
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Country | US
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Telephone | 240-770-7708
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Fax | 240-770-7730
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Provider Business Mailing Address
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Address Line | 6937 LAMONT DR
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City | LANHAM
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State | MD
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Zip | 20706-4606
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Country | US
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Telephone | 240-770-7708
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Fax | 240-770-7730
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | MS. EBUN VICTORIA WILLIAMS
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Credential |
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Telephone | 240-770-7708
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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 | R2599
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License Number State | MD
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