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General NPI Number Information
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NPI Number | 1619838455
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Entity Type | Organization
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Legal Business Name | ACCOKEEK HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 16107 LIVINGSTON RD
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City | ACCOKEEK
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State | MD
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Zip | 20607-2227
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Country | US
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Telephone | 240-640-3690
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Fax |
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Provider Business Mailing Address
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Address Line | 16107 LIVINGSTON RD
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City | ACCOKEEK
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State | MD
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Zip | 20607-2227
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Country | US
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Telephone | 240-640-3690
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EDITH DENISE THRASH
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Credential |
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Telephone | 240-640-3690
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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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