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General NPI Number Information
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NPI Number | 1154669166
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Entity Type | Organization
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Legal Business Name | HOME HEALTH VENTURES I, LLC
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 1036 CIRCLE DR SUITE B
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City | SYKESVILLE
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State | MD
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Zip | 21784-7900
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Country | US
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Telephone | 410-795-7495
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 CIRCLE DR SUITE B
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City | SYKESVILLE
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State | MD
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Zip | 21784-7900
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Country | US
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Telephone | 410-795-7495
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | HEATHER WARBLE
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Credential | CPA
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Telephone | 410-795-7495
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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 | R3396
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License Number State | MD
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