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General NPI Number Information
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NPI Number | 1558695684
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Entity Type | Organization
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Legal Business Name | BAY VIEW HOMECARE, INC.
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 1601 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3617
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Country | US
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Telephone | 302-629-0202
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Fax | 302-629-9382
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Provider Business Mailing Address
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Address Line | 4404 FITCH AVE
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City | BALTIMORE
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State | MD
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Zip | 21236-3907
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Country | US
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Telephone | 410-665-0107
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Fax | 410-665-0107
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JOHN LYNN ROTH
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Credential |
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Telephone | 410-665-0107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 09 01162 37
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License Number State | DE
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