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General NPI Number Information
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NPI Number | 1821454075
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Entity Type | Organization
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Legal Business Name | GOOD MORNING HEALTH CARE
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Dates
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Enumeration Date | 01/04/2016
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 300 JOPPA CROSSING CT
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City | JOPPA
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State | MD
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Zip | 21085-3741
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Country | US
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Telephone | 443-889-3698
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Fax |
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Provider Business Mailing Address
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Address Line | 300 JOPPA CROSSING CT
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City | JOPPA
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State | MD
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Zip | 21085-3741
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NONYELUM VERA EZIMORA
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Credential |
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Telephone | 443-889-3698
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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 | R3875P
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | R3875P
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License Number State | MD
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