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General NPI Number Information
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NPI Number | 1831586577
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Entity Type | Organization
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Legal Business Name | REAL CARE AGENCY LLC
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 4573 LEE RD
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City | CLEVELAND
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State | OH
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Zip | 44128-3757
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Country | US
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Telephone | 800-722-7164
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Fax | 877-437-4383
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Provider Business Mailing Address
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Address Line | 17120 QUEEN VICTORIA COURT # 301
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City | GAITHERSBURG
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State | MD
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Zip | 20877
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Country | US
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Telephone | 800-722-7164
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Fax | 877-437-4383
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Authorized Official
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Title or Position | CEO/ MANAGEMENT
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Name | MS. KIMBERLY MARIE BARNES
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Credential | CPI, BS, MA, HHA
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Telephone | 800-722-7164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 2307679
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License Number State | OH
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