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General NPI Number Information
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NPI Number | 1801189956
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Entity Type | Organization
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Legal Business Name | FRONTLINE HEALTHCARE CORP.
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 10/27/2012
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Provider Practice Location Address
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Address Line | 6505 OAK FOREST CT
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City | CHEVERLY
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State | MD
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Zip | 20785-3167
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Country | US
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Telephone | 888-686-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 OAK FOREST CT
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City | CHEVERLY
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State | MD
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Zip | 20785-3167
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Country | US
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Telephone | 301-437-4344
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Fax | 301-322-4886
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ADAORA E OGBUACHI
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Credential | RN
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Telephone | 301-437-4344
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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 | D14128771
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License Number State | MD
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