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General NPI Number Information
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NPI Number | 1124248711
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Entity Type | Organization
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Legal Business Name | CONSTANT CARE LLC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 10751 FALLS ROAD #425
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City | LUTHERVILLE
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State | MD
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Zip | 21093
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Country | US
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Telephone | 301-317-0020
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Fax | 301-317-0028
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | LAUREL
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State | MD
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Zip | 20725
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Country | US
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Telephone | 301-317-8020
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Fax | 301-317-0028
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN A WESOLOWSKI
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Credential | CRNA
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Telephone | 301-317-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R078019
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License Number State | MD
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