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NPI 1710659396

NPI 1710659396 : LOVELI CARE SERVICES : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1710659396
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOVELI CARE SERVICES 
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Dates
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    Enumeration Date     |    10/01/2021
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    Last Update Date     |    10/01/2021
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Provider Practice Location Address
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    Address Line         |    6405 CHESSINGTON ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21220-1857
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    Country              |    US
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    Telephone            |    443-743-8129
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6405 CHESSINGTON ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21220-1857
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    Country              |    US
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    Telephone            |    443-743-8129
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LIBRA  ROBERTSON 
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    Credential           |    FNP
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    Telephone            |    410-498-4808
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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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