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General NPI Number Information
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NPI Number | 1700058906
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Entity Type | Organization
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Legal Business Name | PASSIONATE HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 07/03/2009
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Provider Practice Location Address
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Address Line | 7600 RESERVE CIR SUITE 303
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City | BALTIMORE
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State | MD
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Zip | 21244-1605
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Country | US
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Telephone | 410-298-9234
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Fax | 410-298-9234
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Provider Business Mailing Address
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Address Line | PO BOX 47224
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City | WINDSOR MILL
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State | MD
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Zip | 21244-0224
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Country | US
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Telephone | 410-660-5925
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Fax | 410-298-9234
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Authorized Official
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Title or Position | COO
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Name | MS. DORIS A BEN
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Credential | RN
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Telephone | 410-660-5925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0707008 NURSINGSTAFF
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R2695R (RSA)
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License Number State | MD
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