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General NPI Number Information
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NPI Number | 1215318506
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Entity Type | Organization
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Legal Business Name | RELIANT HOME HEALTH INC.
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 677 SPRING MEADOW DR
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City | WESTMINSTER
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State | MD
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Zip | 21158-4432
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Country | US
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Telephone | 443-928-5699
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Fax | 410-941-2766
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Provider Business Mailing Address
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Address Line | 677 SPRING MEADOW DR
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City | WESTMINSTER
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State | MD
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Zip | 21158-4432
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Country | US
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Telephone | 443-928-5699
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Fax | 410-941-2766
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BERNARD ASONGANYI MBEBOH
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Credential | PHYSICIAN ASSISTANT
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Telephone | 443-928-5699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | R3113
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License Number State | MD
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