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General NPI Number Information
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NPI Number | 1841042264
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Entity Type | Organization
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Legal Business Name | EARTH HOLISTIC HOME CARE, LLC
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 201 INTERNATIONAL CIR STE 229
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City | HUNT VALLEY
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State | MD
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Zip | 21030-1304
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Country | US
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Telephone | 443-570-7205
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Fax |
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Provider Business Mailing Address
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Address Line | 516 CATHEDRAL ST
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City | BALTIMORE
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State | MD
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Zip | 21201-5089
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Country | US
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Telephone | 443-570-7205
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. DEIRDRE ELISE OSIOMWAN
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Credential | RN
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Telephone | 443-570-7205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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