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General NPI Number Information
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NPI Number | 1811387756
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Entity Type | Organization
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Legal Business Name | SAMARITANS WAY NURSING
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 5815 PARKWAY DR
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City | LAUREL
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State | MD
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Zip | 20707-5423
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Country | US
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Telephone | 240-547-2078
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Fax | 443-545-5911
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Provider Business Mailing Address
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Address Line | 5815 PARKWAY DR
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City | LAUREL
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State | MD
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Zip | 20707-5423
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Country | US
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Telephone | 240-547-2078
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Fax | 443-545-5911
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Authorized Official
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Title or Position | OWNER
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Name | JUDITH PANGBORN
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Credential |
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Telephone | 410-236-6950
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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 | 100402
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License Number State | MD
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