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General NPI Number Information
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NPI Number | 1346571908
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Entity Type | Organization
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Legal Business Name | NESBURG INC DBA GUARDIAN COMMUNITY HEALTH SYSTEMS
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 20 PLEASANT RIDGE DR STE E
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City | OWINGS MILLS
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State | MD
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Zip | 21117-2560
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Country | US
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Telephone | 410-800-4572
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Fax | 410-286-1923
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Provider Business Mailing Address
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Address Line | 20 PLEASANT RIDGE DR STE E
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City | OWINGS MILLS
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State | MD
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Zip | 21117-2560
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Country | US
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Telephone | 410-800-4572
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Fax | 410-286-1923
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GBENGA OBATUASE
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Credential |
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Telephone | 410-800-4572
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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 | R2846
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License Number State | MD
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