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General NPI Number Information
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NPI Number | 1619586807
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Entity Type | Organization
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Legal Business Name | MEDHUB HEALTHCARE INC
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 4070 ATTERBURY PL
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City | FREDERICK
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State | MD
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Zip | 21704-7401
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Country | US
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Telephone | 240-409-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 5257 BUCKEYSTOWN PIKE # 257
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City | FREDERICK
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State | MD
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Zip | 21704-7535
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Country | US
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Telephone | 240-409-9611
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANAH JACK
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Credential | DPT
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Telephone | 240-409-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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