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General NPI Number Information
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NPI Number | 1477730596
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Entity Type | Organization
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Legal Business Name | CRITICARE, INC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 1821 OREGON PIKE SUITE 214
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City | LANCASTER
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State | PA
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Zip | 17601-6466
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Country | US
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Telephone | 717-560-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HOOKS LN SUITE 202
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City | BALTIMORE
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State | MD
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Zip | 21208-1617
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Country | US
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Telephone | 410-653-0944
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Fax | 410-415-5188
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. PAUL VOLOSOV
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Credential | PHD
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Telephone | 410-653-0944
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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 |
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License Number State |
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