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General NPI Number Information
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NPI Number | 1386458180
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Entity Type | Organization
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Legal Business Name | SHORE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5550 TUCKERMAN LN
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City | ROCKVILLE
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State | MD
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Zip | 20852-4683
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Country | US
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Telephone | 410-443-7060
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Fax |
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Provider Business Mailing Address
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Address Line | 511 GRAND CYPRESS CT
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City | ASHTON
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State | MD
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Zip | 20861-8019
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Country | US
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Telephone | 410-443-7060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASIMA S. CHEEMA
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Credential | MD
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Telephone | 410-443-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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