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General NPI Number Information
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NPI Number | 1821532623
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Entity Type | Organization
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Legal Business Name | GRISWOLD HOMECARE
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 212 E MAIN ST STE 218
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City | SALISBURY
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State | MD
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Zip | 21801-5100
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Country | US
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Telephone | 410-777-8606
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Fax |
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Provider Business Mailing Address
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Address Line | 212 E MAIN ST STE 218
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City | SALISBURY
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State | MD
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Zip | 21801-5100
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Country | US
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Telephone | 410-777-8606
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/ OWNER
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Name | MR. JUSTIN MONEY
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Credential |
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Telephone | 410-777-8606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 110204
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License Number State | MD
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