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General NPI Number Information
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NPI Number | 1316518194
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Entity Type | Organization
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Legal Business Name | DNR CARENET LLC
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 1428 SHADY GLEN DR
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City | FORESTVILLE
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State | MD
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Zip | 20747-1714
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Country | US
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Telephone | 301-257-7976
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 HAMPDEN LN STE 200
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City | BETHESDA
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State | MD
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Zip | 20814-2934
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Country | US
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Telephone | 301-263-6269
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN ROLLINSON CHISHOLM JR.
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Credential |
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Telephone | 301-257-7976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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