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General NPI Number Information
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NPI Number | 1669080404
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Entity Type | Organization
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Legal Business Name | GLYNCARE, INC.
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 3105 EMMORTON RD STE 2B3
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City | ABINGDON
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State | MD
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Zip | 21009-2583
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Country | US
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Telephone | 443-484-2181
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Fax | 443-922-9305
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Provider Business Mailing Address
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Address Line | 3105 EMMORTON RD STE 2B3
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City | ABINGDON
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State | MD
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Zip | 21009-2583
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Country | US
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Telephone | 443-484-2181
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Fax | 443-922-9305
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSEPH GLYNN
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Credential |
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Telephone | 443-484-2181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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