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General NPI Number Information
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NPI Number | 1780902361
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 819 HOPEWOOD RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-5702
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Country | US
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Telephone | 443-377-3281
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Fax | 443-863-6280
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Provider Business Mailing Address
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Address Line | 819 HOPEWOOD RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-5702
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Country | US
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Telephone | 443-377-3281
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Fax | 443-863-6280
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WILLIAM TYSON
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Credential | RN
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Telephone | 443-377-3281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | LP46255
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License Number State | MD
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