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General NPI Number Information
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NPI Number | 1144561663
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Entity Type | Organization
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Legal Business Name | DEFYD SERVICES LLC
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 8902 MERRILL LN SUITE 302
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City | LAUREL
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State | MD
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Zip | 20708-2024
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Country | US
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Telephone | 410-262-1228
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Fax |
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Provider Business Mailing Address
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Address Line | 8902 MERRILL LN SUITE 302
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City | LAUREL
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State | MD
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Zip | 20708-2024
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Country | US
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Telephone | 410-262-1228
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOHN HARRISON FEDDY
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Credential |
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Telephone | 410-262-1228
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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 | R3371
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License Number State | MD
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