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General NPI Number Information
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NPI Number | 1740527704
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Entity Type | Organization
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Legal Business Name | LITTLE CARING HEALTH SERVICE AGENCY
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 12 PLATEAU RD
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City | BALTIMORE
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State | MD
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Zip | 21221-7030
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Country | US
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Telephone | 410-236-0073
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Fax |
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Provider Business Mailing Address
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Address Line | 12 PLATEAU RD
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City | BALTIMORE
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State | MD
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Zip | 21221-7030
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Country | US
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Telephone | 410-236-0073
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ORLEEN ALEXANDERINA IGWE
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Credential | NURSING CARE
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Telephone | 410-236-0073
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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 | R3324R
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License Number State | MD
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