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General NPI Number Information
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NPI Number | 1124309026
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Entity Type | Organization
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Legal Business Name | DELMARVAS HOME CARE SOLUTION,INC
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 1201 PEMBERTON DR SUITE 2A
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City | SALISBURY
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State | MD
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Zip | 21801-2497
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Country | US
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Telephone | 410-749-0887
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 PEMBERTON DR SUITE 2A
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City | SALISBURY
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State | MD
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Zip | 21801-2497
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Country | US
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Telephone | 410-749-0887
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. HAROLD JOESPH CYR JR.
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Credential |
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Telephone | 410-749-0887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | R2265
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License Number State | MD
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