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NPI 1649274978

NPI 1649274978 : WOODHAVEN INFUSION SERVICES, INC. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1649274978
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    Entity Type          |    Organization 
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    Legal Business Name  |    WOODHAVEN INFUSION SERVICES, INC. 
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Dates
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    Enumeration Date     |    05/27/2005
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    9006 YELLOW BRICK RD STE F
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21237-2309
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    Country              |    US
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    Telephone            |    443-927-8400
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    Fax                  |    443-927-8465
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Provider Business Mailing Address
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    Address Line         |    9006 YELLOW BRICK RD STE F
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21237-2309
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    Country              |    US
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    Telephone            |    443-927-8400
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    Fax                  |    443-927-8465
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. BARBARA  HILL 
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    Credential           |    
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    Telephone            |    443-927-8474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    R2206R
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    License Number State |    MD
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