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General NPI Number Information
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NPI Number | 1831109537
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Entity Type | Organization
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Legal Business Name | DIGITRACE CARE SERVICES, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 17001 SCIENCE DR SUITE 109
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City | BOWIE
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State | MD
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Zip | 20715
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Country | US
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Telephone | 301-731-7880
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Fax | 301-731-3775
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Provider Business Mailing Address
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Address Line | 200 CORPORATE PL SUITE 5B
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City | PEABODY
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State | MA
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Zip | 01960-3840
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Country | US
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Telephone | 978-536-7400
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Fax | 978-535-9757
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Authorized Official
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Title or Position | VP COMPLIANCE & CONTRACTING
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Name | ANGELA NAUFUL
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Credential |
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Telephone | 770-309-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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