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General NPI Number Information
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NPI Number | 1770121469
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Entity Type | Organization
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Legal Business Name | GOODHEART NURSING CARE LLC
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 4990 PISGAH MARBURY RD
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City | MARBURY
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State | MD
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Zip | 20658-2315
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Country | US
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Telephone | 240-478-5337
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Fax |
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Provider Business Mailing Address
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Address Line | 4990 PISGAH MARBURY RD
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City | MARBURY
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State | MD
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Zip | 20658-2315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. MARIAN TORONKA
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Credential | RN
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Telephone | 240-478-5334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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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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