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General NPI Number Information
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NPI Number | 1841466919
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Entity Type | Organization
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Legal Business Name | COMMUNIT SUPPORT SYSTEM 'CSS LLC'.
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 6307 BRECHIB DR
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City | BRANDYWINE
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State | MD
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Zip | 20613
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Country | US
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Telephone | 301-793-8703
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Fax | 410-975-4614
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Provider Business Mailing Address
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Address Line | 6307 BRECHIB DR
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City | BRANDYWINE
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State | MD
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Zip | 20613
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Country | US
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Telephone | 301-793-8703
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Fax | 410-975-4614
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Authorized Official
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Title or Position | MANEGER CEO
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Name | EMILIA ATEM
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Credential |
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Telephone | 301-793-8703
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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 | R 2529
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License Number State | MD
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