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General NPI Number Information
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NPI Number | 1740910728
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Entity Type | Organization
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Legal Business Name | CARING WITH LOVE AND COMPASSION HOMECARE AGENCY L.L.C
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 1160 E NORTHERN PKWY
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City | BALTIMORE
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State | MD
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Zip | 21239-1933
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Country | US
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Telephone | 443-374-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 E NORTHERN PKWY
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City | BALTIMORE
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State | MD
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Zip | 21239-1933
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Country | US
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Telephone | 443-374-8188
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANTIDRA BAILEY
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Credential |
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Telephone | 443-374-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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