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General NPI Number Information
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NPI Number | 1720307523
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Entity Type | Organization
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Legal Business Name | CAREREACH INC
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 9808 LIBERTY RD SUITE D
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-2007
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Country | US
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Telephone | 410-205-2759
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Fax | 410-814-5043
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Provider Business Mailing Address
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Address Line | 9808 LIBERTY RD STE D
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-2435
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Country | US
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Telephone | 410-205-2759
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Fax | 410-814-5043
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HELGA TANWANI
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Credential |
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Telephone | 410-205-2759
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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 | R3014
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License Number State | MD
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