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General NPI Number Information
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NPI Number | 1730433194
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Entity Type | Individual
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Provider Name | ELOISE EME ANNAH GNA ,HHA,CMT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 800 KAY CT APT 204
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City | LAUREL
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State | MD
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Zip | 20707-5143
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Country | US
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Telephone | 240-715-5682
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Fax |
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Provider Business Mailing Address
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Address Line | 5625 ALLENTOWN RD
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City | CAMP SPRINGS
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State | MD
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Zip | 20746-4521
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Country | US
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Telephone | 301-899-3200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | A00112109
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License Number State | MD
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