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General NPI Number Information
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NPI Number | 1780941039
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 1327 CARLSBAD DR
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3203
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Country | US
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Telephone | 301-922-7353
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Fax | 301-519-2065
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Provider Business Mailing Address
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Address Line | 1327 CARLSBAD DR
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3203
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Country | US
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Telephone | 301-922-7353
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Fax | 301-519-2065
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Authorized Official
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Title or Position | DIRECTOR OF NURSES
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Name | MS. CECILY GACHENGE
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Credential | DON
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Telephone | 240-477-0444
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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 | R3125
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | R3125
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R3125
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | R3125
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | R3125
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License Number State | MD
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