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General NPI Number Information
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NPI Number | 1700453669
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Entity Type | Organization
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Legal Business Name | CLAUDIA HOUSE
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 8912 TUCKERMAN LN
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City | POTOMAC
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State | MD
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Zip | 20854-3168
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Country | US
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Telephone | 202-725-1944
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60521
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City | POTOMAC
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State | MD
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Zip | 20859-0521
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Country | US
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Telephone | 240-907-2139
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | EDELINE CHARLES
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Credential |
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Telephone | 240-907-2139
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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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