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General NPI Number Information
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NPI Number | 1114308228
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Entity Type | Organization
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Legal Business Name | THE ABBY CORPORATION
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 3311 TOLEDO TER STE C202
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City | HYATTSVILLE
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State | MD
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Zip | 20782-8148
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Country | US
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Telephone | 301-853-6099
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 TOLEDO TER STE C202
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City | HYATTSVILLE
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State | MD
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Zip | 20782-8148
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Country | US
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Telephone | 301-853-6099
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MRS. CYNTHIA DICKSON
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Credential |
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Telephone | 202-498-4186
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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 | R3770P
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License Number State | MD
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