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General NPI Number Information
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NPI Number | 1831080233
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Entity Type | Organization
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Legal Business Name | MDICS REHABILITATIVE SERVICES - LTCACO LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1454 FAIRFIELD LOOP RD
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City | CROWNSVILLE
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State | MD
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Zip | 21032-2006
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Country | US
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Telephone | 410-923-6820
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69231
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City | BALTIMORE
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State | MD
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Zip | 21264-9231
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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 | CFO
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Name | DAVID SWEATT
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Credential |
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Telephone | 240-841-8714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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