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General NPI Number Information
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NPI Number | 1295406171
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Entity Type | Organization
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Legal Business Name | CARITAS AMARE HOMESTEAD LLC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 408 JOHN AVE
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City | BALTIMORE
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State | MD
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Zip | 21221-3342
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Country | US
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Telephone | 443-600-7033
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Fax |
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Provider Business Mailing Address
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Address Line | 408 JOHN AVE
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City | BALTIMORE
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State | MD
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Zip | 21221-3342
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Country | US
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Telephone | 443-600-7033
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Fax |
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Authorized Official
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Title or Position | HOUSE ADMINISTRATOR
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Name | MR. OBINNA AMBROSE OJIERE
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Credential | N/A
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Telephone | 443-600-7033
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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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