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General NPI Number Information
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NPI Number | 1538748819
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Entity Type | Organization
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Legal Business Name | GATED ENTREPRISE DBA COMFORT KEEPERS
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 7310 RITCHIE HWY # 411
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3065
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Country | US
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Telephone | 301-296-1822
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Fax | 301-658-6665
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Provider Business Mailing Address
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Address Line | 7310 RITCHIE HWY # 411
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3065
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Country | US
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Telephone | 240-245-9310
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SOLANGE SOL
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Credential |
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Telephone | 301-296-1822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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