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General NPI Number Information
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NPI Number | 1306842174
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Entity Type | Organization
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Legal Business Name | FREDERICK HEALTH HOSPITAL INC
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 1 FREDERICK HEALTH WAY
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City | FREDERICK
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State | MD
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Zip | 21701-9435
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Country | US
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Telephone | 240-566-3222
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Fax | 240-566-3033
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Provider Business Mailing Address
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Address Line | PO BOX 1093
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City | FREDERICK
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State | MD
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Zip | 21702-0093
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Country | US
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Telephone | 240-566-3222
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Fax | 240-566-3961
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Authorized Official
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Title or Position | EXECUTIVEVICE PRESIDENT AND CFO
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Name | MS. MICHELLE K MAHAN
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Credential |
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Telephone | 240-566-3355
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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 | HH7034
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License Number State | MD
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