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General NPI Number Information
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NPI Number | 1205125721
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Entity Type | Organization
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Legal Business Name | AHELPINGHAND@HOMECARELLC
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 307 WASHINGTON ST
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City | SALISBURY
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State | MD
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Zip | 21804-5545
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Country | US
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Telephone | 410-543-4905
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Fax | 410-543-4906
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Provider Business Mailing Address
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Address Line | 307 WASHINGTON ST
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City | SALISBURY
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State | MD
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Zip | 21804-5545
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Country | US
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Telephone | 410-543-4905
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Fax | 410-543-4906
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | KAREN MARIE WILSON
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Credential | CNA
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Telephone | 443-366-6250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | W425461585969
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License Number State | MD
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