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General NPI Number Information
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NPI Number | 1306516216
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Entity Type | Organization
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Legal Business Name | ADELS HEALTHCARE COORDINATION
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 8118 HARFORD RD STE G
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City | PARKVILLE
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State | MD
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Zip | 21234-5725
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Country | US
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Telephone | 443-563-1654
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Fax |
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Provider Business Mailing Address
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Address Line | 4540 GOLDEN MEADOW DR
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City | PERRY HALL
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State | MD
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Zip | 21128-9035
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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 | ADELAIDE INCOOM
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Credential |
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Telephone | 410-921-5069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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