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General NPI Number Information
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NPI Number | 1710363122
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Entity Type | Organization
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Legal Business Name | HOUSE CALLS ON WHEELS
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 1801 GLEN KEITH BLVD
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City | PARKVILLE
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State | MD
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Zip | 21234-5100
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Country | US
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Telephone | 443-979-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 GLEN KEITH BLVD
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City | PARKVILLE
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State | MD
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Zip | 21234-5100
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Country | US
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Telephone | 443-979-1446
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | DR. DOROTHY WERE
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Credential |
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Telephone | 410-200-5042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R170385
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License Number State | MD
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