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General NPI Number Information
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NPI Number | 1215439930
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOME HEALTH RESIDENTIAL SERVICES INC
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 9403 HARFORD RD STE 6
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City | BALTIMORE
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State | MD
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Zip | 21234-3123
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Country | US
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Telephone | 410-616-9679
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Fax | 410-616-9687
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Provider Business Mailing Address
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Address Line | 9403 HARFORD RD STE 6
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City | BALTIMORE
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State | MD
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Zip | 21234-3123
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Country | US
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Telephone | 410-616-9679
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Fax | 410-616-9687
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. CHARLES EGBE
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Credential |
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Telephone | 410-616-9679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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