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General NPI Number Information
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NPI Number | 1124355318
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Entity Type | Organization
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Legal Business Name | REWARD HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 2530 N CHARLES ST SUITE 300
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City | BALTIMORE
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State | MD
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Zip | 21218-4640
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Country | US
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Telephone | 443-708-4854
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Fax | 443-708-4857
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Provider Business Mailing Address
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Address Line | 2530 N CHARLES ST SUITE 300
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City | BALTIMORE
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State | MD
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Zip | 21218-4640
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Country | US
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Telephone | 443-708-4854
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Fax | 443-708-4857
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. ISAAC ABIOYE OLASUPO
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Credential | MS
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Telephone | 443-708-4854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 408449700
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License Number State | MD
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