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General NPI Number Information
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NPI Number | 1528331824
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Entity Type | Organization
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Legal Business Name | CAREONE HEALTH CARE SERVICES,LLC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 5203 CORNELIAS PROSPECT DR
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City | BOWIE
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State | MD
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Zip | 20720-3376
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Country | US
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Telephone | 301-262-1093
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Fax |
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Provider Business Mailing Address
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Address Line | 5203 CORNELIAS PROSPECT DR
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City | BOWIE
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State | MD
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Zip | 20720-3376
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Country | US
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Telephone | 301-262-1093
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MRS. AGATHA EWENIKE
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Credential |
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Telephone | 301-262-1093
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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 | R3065P
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License Number State | MD
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