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General NPI Number Information
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NPI Number | 1588702369
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Entity Type | Organization
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Legal Business Name | GENERATIONS NURSING AGENCY INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8935 GREENS LN
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4240
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Country | US
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Telephone | 410-925-6325
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Fax | 410-655-1471
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Provider Business Mailing Address
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Address Line | 8935 GREENS LANE
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City | RANDALLSTOWN
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State | MD
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Zip | 21133
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Country | US
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Telephone | 410-925-6325
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Fax | 410-655-1471
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BERTHA LEE OKELLO
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Credential |
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Telephone | 410-925-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | MD
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