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General NPI Number Information
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NPI Number | 1437574225
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Entity Type | Organization
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Legal Business Name | MYRVICK CARE AGENCY
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 1 RESEARCH CT STE 451
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City | ROCKVILLE
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State | MD
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Zip | 20850-3221
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Country | US
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Telephone | 202-587-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 1 RESEARCH CT STE 451
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City | ROCKVILLE
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State | MD
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Zip | 20850-3221
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Country | US
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Telephone | 202-587-2755
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIE MYRIAM DARISME
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Credential |
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Telephone | 301-622-0595
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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 | R3505P
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License Number State | MD
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