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General NPI Number Information
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NPI Number | 1457691784
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Entity Type | Organization
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Legal Business Name | GIMPER GENTLE CARE PT OT
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Dates
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Enumeration Date | 02/23/2013
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Last Update Date | 02/23/2013
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Provider Practice Location Address
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Address Line | 7109 FOREST CREEK WAY
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City | HANOVER
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State | MD
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Zip | 21076-1177
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Country | US
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Telephone | 240-988-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 7109 FOREST CREEK WAY
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City | HANOVER
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State | MD
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Zip | 21076-1177
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Country | US
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Telephone | 240-988-5329
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. SAMPSON DARKO
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Credential |
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Telephone | 410-302-3447
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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 | R3387
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License Number State | MD
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