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General NPI Number Information
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NPI Number | 1790196038
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Entity Type | Organization
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Legal Business Name | CAREREACH INC
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 5310 OLD COURT RD STE 105
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5281
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Country | US
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Telephone | 443-540-0779
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Fax |
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Provider Business Mailing Address
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Address Line | 5310 OLD COURT RD STE 105
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5281
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Country | US
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Telephone | 443-540-0779
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | UCHENNA EKWONYE
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Credential | RN
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Telephone | 443-540-0779
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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 | R3014
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License Number State | MD
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