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General NPI Number Information
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NPI Number | 1275822504
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Entity Type | Organization
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Legal Business Name | BELLA HOME CARE LLC
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 3987 WHISPERING MEADOW DR
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4353
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Country | US
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Telephone | 443-253-2940
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Fax | 410-655-0408
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Provider Business Mailing Address
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Address Line | 3987 WHISPERING MEADOW DR
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4353
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Country | US
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Telephone | 443-253-2940
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Fax | 410-655-0408
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Authorized Official
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Title or Position | PRESIDENT
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Name | QUINN BOWERS
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Credential | RN
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Telephone | 443-253-2940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R3009P
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License Number State | MD
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