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General NPI Number Information
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NPI Number | 1356532105
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Entity Type | Organization
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Legal Business Name | UPPER CHESAPEAKE/ST JOSEPH HOMECARE INC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 10/16/2009
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Provider Practice Location Address
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Address Line | 8003 CORPORATE DR SUITE G
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City | BALTIMORE
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State | MD
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Zip | 21236-4984
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Country | US
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Telephone | 410-931-0990
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Fax | 410-931-2144
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Provider Business Mailing Address
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Address Line | 8003 CORPORATE DR SUITE G
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City | BALTIMORE
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State | MD
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Zip | 21236-4984
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Country | US
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Telephone | 410-931-0990
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Fax | 410-931-2144
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. JONATHAN B BINDER
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Credential |
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Telephone | 410-931-0990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | H1536
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License Number State | MD
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