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NPI 1679265649

NPI 1679265649 : RAIN HEALTHCARE GROUP INC : OWINGS MILLS, MD

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General NPI Number Information
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    NPI Number           |    1679265649
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAIN HEALTHCARE GROUP INC 
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Dates
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    Enumeration Date     |    05/25/2023
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    Last Update Date     |    05/25/2023
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Provider Practice Location Address
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    Address Line         |    45 TAHOE CIR APT B 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-3751
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    Country              |    US
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    Telephone            |    609-933-3599
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    45 TAHOE CIR APT B 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-3751
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    Country              |    US
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    Telephone            |    609-933-3599
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     BUSUYI DICKSON AJAYI 
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    Credential           |    
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    Telephone            |    609-933-3599
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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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