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General NPI Number Information
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NPI Number | 1104302959
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Entity Type | Individual
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Provider Name | NELIESTEVE EBAI
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Gender | Female
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 11342 CHERRY HILL RD
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City | BELTSVILLE
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State | MD
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Zip | 20705-3735
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Country | US
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Telephone | 301-803-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 QUEENS CHAPEL RD APT 7
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3631
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Country | US
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Telephone | 240-971-9497
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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