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General NPI Number Information
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NPI Number | 1811293277
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Entity Type | Organization
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Legal Business Name | ABSOLUTE CARE NURSING & HOME HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 14034 BROMFIELD RD
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City | GERMANTOWN
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State | MD
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Zip | 20874-2290
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Country | US
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Telephone | 240-491-4101
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Fax | 240-491-4103
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Provider Business Mailing Address
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Address Line | PO BOX 7585
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City | GAITHERSBURG
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State | MD
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Zip | 20898-7585
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Country | US
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Telephone | 240-491-4101
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Fax | 240-491-4103
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Authorized Official
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Title or Position | COO/ADMINISTRATOR
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Name | MRS. AUGUSTINA O ENWEZE
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Credential |
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Telephone | 301-806-0063
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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 | R2981
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R2981
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License Number State | MD
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