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General NPI Number Information
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NPI Number | 1467958686
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Entity Type | Organization
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Legal Business Name | AFFINITY CARE HOME CARE LLC
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 15954 ALAMEDA DR
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City | BOWIE
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State | MD
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Zip | 20716-1332
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Country | US
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Telephone | 240-665-0727
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Fax | 301-572-6858
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Provider Business Mailing Address
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Address Line | 15954 ALAMEDA DR
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City | BOWIE
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State | MD
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Zip | 20716-1332
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Country | US
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Telephone | 240-665-0727
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Fax | 301-572-6858
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. REENA PAUL
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Credential | MBA, MA
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Telephone | 240-665-0727
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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 | R4181
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License Number State | MD
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