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General NPI Number Information
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NPI Number | 1114164308
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Entity Type | Organization
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Legal Business Name | AADVANCE HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/10/2009
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 516 N ROLLING RD SUITE# 303
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City | CATONSVILLE
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State | MD
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Zip | 21228-4140
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Country | US
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Telephone | 410-744-8200
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Fax | 410-744-8203
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Provider Business Mailing Address
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Address Line | 516 N ROLLING RD SUITE# 303
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City | CATONSVILLE
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State | MD
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Zip | 21228-4142
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Country | US
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Telephone | 410-744-8200
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Fax | 410-744-8203
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ELKEN BANSAH SR.
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Credential |
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Telephone | 410-744-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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