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General NPI Number Information
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NPI Number | 1114480662
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Entity Type | Organization
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Legal Business Name | NEW DIMENSIONS HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 201 PROSPECT AVE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3204
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Country | US
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Telephone | 301-739-3333
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Fax | 301-739-3337
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Provider Business Mailing Address
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Address Line | 201 PROSPECT AVE
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3204
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Country | US
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Telephone | 301-739-3333
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Fax | 301-739-3337
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. DOMINIQUE BURKE
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Credential |
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Telephone | 301-739-3333
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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 |
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License Number State |
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