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General NPI Number Information
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NPI Number | 1780914820
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Entity Type | Organization
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Legal Business Name | DELMARVA SENIOR CARE
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 715A EASTERN SHORE DR
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City | SALISBURY
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State | MD
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Zip | 21804-5932
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Country | US
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Telephone | 410-548-7701
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Fax | 410-548-7705
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Provider Business Mailing Address
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Address Line | 715A EASTERN SHORE DR
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City | SALISBURY
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State | MD
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Zip | 21804-5932
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Country | US
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Telephone | 410-548-7701
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Fax | 410-548-7705
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANGELA LYNN EATON
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Credential | RN
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Telephone | 410-548-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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