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General NPI Number Information
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NPI Number | 1144576166
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 14440 CHERRY LANE CT STE 201A
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City | LAUREL
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State | MD
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Zip | 20707-4946
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Country | US
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Telephone | 240-294-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 14440 CHERRY LANE CT STE 201A
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City | LAUREL
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State | MD
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Zip | 20707-4946
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Country | US
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Telephone | 240-294-6682
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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. CHIMA NZEKWE
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Credential |
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Telephone | 240-294-6682
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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 | R3061
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License Number State | MD
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