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General NPI Number Information
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NPI Number | 1114701869
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Entity Type | Organization
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Legal Business Name | TRUSTED CARE PROFESSIONALS LLC
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 614 WOODBOURNE AVE
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City | BALTIMORE
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State | MD
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Zip | 21212-4204
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Country | US
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Telephone | 443-525-2478
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22068
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City | BALTIMORE
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State | MD
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Zip | 21203-4068
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Country | US
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Telephone | 443-525-2478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CASSEY A RICHARDSON
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Credential | (AO)
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Telephone | 443-525-2478
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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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