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General NPI Number Information
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NPI Number | 1831529346
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Entity Type | Organization
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Legal Business Name | UNIVERSAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 5602 BALTIMORE NATIONAL PIKE SUITE 204
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City | CATONSVILLE
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State | MD
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Zip | 21228-1411
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Country | US
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Telephone | 410-719-0194
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Fax | 410-719-0196
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Provider Business Mailing Address
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Address Line | 5602 BALTIMORE NATIONAL PIKE SUITE 204
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City | CATONSVILLE
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State | MD
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Zip | 21228-1411
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Country | US
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Telephone | 410-719-0194
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Fax | 410-719-0196
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. ABAYOMI GEOFFREY AJEPE
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Credential |
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Telephone | 410-719-0194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | MD
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