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General NPI Number Information
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NPI Number | 1861944795
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Entity Type | Organization
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Legal Business Name | AMERIS
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 6711 COLUMBIA GATEWAY DRIVE SUITE 475
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City | COLUMBIA
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State | MD
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Zip | 21046
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Country | US
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Telephone | 866-991-7052
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Fax |
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Provider Business Mailing Address
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Address Line | 6711 COLUMBIA GATEWAY DR SUITE 475
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City | COLUMBIA
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State | MD
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Zip | 21046-2294
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Country | US
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Telephone | 866-991-7052
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MERLYNN CARSON
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Credential |
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Telephone | 410-344-2852
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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 | HCSA1309019
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License Number State | MD
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