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General NPI Number Information
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NPI Number | 1225526221
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Entity Type | Organization
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Legal Business Name | ON TIME HOME HEALTH SERVICES
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 8700 CENTRAL AVE STE 207
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City | LANDOVER
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State | MD
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Zip | 20785
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Country | US
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Telephone | 240-429-2874
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 CENTRAL AVE STE 207
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City | LANDOVER
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State | MD
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Zip | 20785-4831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEBORAH AZUINE
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Credential |
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Telephone | 240-429-2874
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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