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General NPI Number Information
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NPI Number | 1699282715
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Entity Type | Organization
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Legal Business Name | VENUS HEALTH CARE SOLUTIONS,LLC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 2329 REISTERSTOWN RD
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City | BALTIMORE
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State | MD
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Zip | 21217-1932
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Country | US
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Telephone | 443-744-5328
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Fax | 888-447-6120
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Provider Business Mailing Address
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Address Line | 2510 HAMILTON AV
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City | BALTIMORE
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State | MD
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Zip | 21214
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BOLIONG AMANG
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Credential |
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Telephone | 443-744-5328
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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 | R4061
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License Number State | MD
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