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General NPI Number Information
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NPI Number | 1154051506
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Entity Type | Organization
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Legal Business Name | BEYONDCARE1LLC
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 19946 APPLE RIDGE PL
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City | GAITHERSBURG
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State | MD
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Zip | 20886-1033
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Country | US
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Telephone | 240-361-8616
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Fax |
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Provider Business Mailing Address
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Address Line | 507 E INDIAN SPRING DR
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City | SILVER SPRING
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State | MD
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Zip | 20901-4726
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Country | US
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Telephone | 240-361-8616
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SEAN ALDON SMITH
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Credential |
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Telephone | 240-361-8616
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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 |
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License Number State |
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