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General NPI Number Information
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NPI Number | 1285085571
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Entity Type | Organization
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Legal Business Name | AC HOME HEALTH SERVICE, L.L.C.
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 17810 MEETING HOUSE RD
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City | SANDY SPRING
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State | MD
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Zip | 20860-1038
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Country | US
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Telephone | 240-780-2624
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Fax |
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Provider Business Mailing Address
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Address Line | 63 DYER WAY
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City | MARTINSBURG
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State | WV
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Zip | 25404-7651
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Country | US
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Telephone | 240-483-1270
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | CHRISTINE M FLEMING
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Credential | MBA
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Telephone | 240-483-1270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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