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General NPI Number Information
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NPI Number | 1699900449
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Entity Type | Organization
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Legal Business Name | REBEKAH HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 3829 KILBURN RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4655
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Country | US
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Telephone | 410-922-2617
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Fax | 410-922-4620
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Provider Business Mailing Address
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Address Line | 3829 KILBURN RD P.O.BOX 327
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4655
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Country | US
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Telephone | 410-922-2617
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Fax | 410-922-4620
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Authorized Official
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Title or Position | PRESIDENT ,CEO, EX
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Name | MRS. GLORIA LYNNE BROWN-BRISTOL
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Credential |
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Telephone | 410-922-2617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | R2758P
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | R2758P
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | R2758P
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 132700000X
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Taxonomy Name | Dietary Manager
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License Number | R2758P
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | R2758P
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | R2758P
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | R2758P
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | R2758P
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R2758P
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License Number State | MD
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Taxonomy #10
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | R2758P
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License Number State | MD
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Taxonomy #11
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | R2758P
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License Number State | MD
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Taxonomy #12
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | R2758P
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License Number State | MD
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Taxonomy #13
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R2758P
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License Number State | MD
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Taxonomy #14
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R2758P
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License Number State | MD
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Taxonomy #15
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | R2758P
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License Number State | MD
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