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General NPI Number Information
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NPI Number | 1114911229
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Entity Type | Organization
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Legal Business Name | P-B HEALTH HOME CARE AGENCY, INC.
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 4701 MOUNT HOPE DR STE B
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City | BALTIMORE
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State | MD
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Zip | 21215-3213
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Country | US
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Telephone | 410-235-1060
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Fax | 410-235-1309
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Provider Business Mailing Address
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Address Line | 4701 MOUNT HOPE DR STE B
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City | BALTIMORE
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State | MD
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Zip | 21215-3246
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Country | US
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Telephone | 410-235-1060
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Fax | 410-235-1309
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Authorized Official
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Title or Position | CORPORATE PROJECT MANAGER
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Name | MS. LENA WOODY
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Credential |
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Telephone | 410-235-1060
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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 | HH7134
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License Number State | MD
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