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General NPI Number Information
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NPI Number | 1396036455
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Entity Type | Organization
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Legal Business Name | RELIANCE HOME CARE
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 12615 BLUE SKY DRIVE
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City | CLARKSBURG
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State | MD
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Zip | 20871
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Country | US
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Telephone | 301-789-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 12615 BLUE SKY DRIVE
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City | CLARKSBURG
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State | MD
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Zip | 20871
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. JEAN-PIERRE LEDUC
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Credential |
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Telephone | 301-789-2525
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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 | R2346
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License Number State | MD
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