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General NPI Number Information
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NPI Number | 1174867931
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Entity Type | Organization
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Legal Business Name | NIGHTINGALE HOME HEALTH INC
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Dates
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Enumeration Date | 11/18/2012
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Last Update Date | 11/18/2012
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Provider Practice Location Address
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Address Line | 788 CROMWELL CT
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City | FREDERICK
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State | MD
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Zip | 21701-4445
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Country | US
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Telephone | 301-698-8789
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Fax | 301-698-8789
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Provider Business Mailing Address
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Address Line | 788 CROMWELL CT
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City | FREDERICK
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State | MD
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Zip | 21701-4445
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Country | US
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Telephone | 301-305-5731
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Fax | 301-698-8789
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Authorized Official
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Title or Position | CEO
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Name | JULIA LUDOVICK SHIRIMA
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Credential | RN
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Telephone | 301-305-5731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion
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License Number | R3321
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care
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License Number | R3321
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health
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License Number | R3321
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License Number State | MD
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