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General NPI Number Information
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NPI Number | 1467902544
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Entity Type | Organization
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Legal Business Name | LIFESAVERS HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 4600 POWDER MILL RD SUITE 450 Z13
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City | BELTSVILLE
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State | MD
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Zip | 20705-2675
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Country | US
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Telephone | 240-580-1510
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Fax | 240-580-1516
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Provider Business Mailing Address
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Address Line | 4600 POWDER MILL RD SUITE 450 Z13
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City | BELTSVILLE
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State | MD
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Zip | 20705-2675
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Country | US
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Telephone | 240-580-1510
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Fax | 240-580-1516
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. PAULA AVETTE SINCLAIR
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Credential | DDIV.
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Telephone | 240-580-1510
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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 | R3957
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License Number State | MD
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