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General NPI Number Information
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NPI Number | 1871189118
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Entity Type | Organization
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Legal Business Name | ALIA BLAND OTR SERVICES INC
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Dates
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Enumeration Date | 12/20/2020
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Last Update Date | 12/20/2020
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Provider Practice Location Address
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Address Line | 903 JENNINGS MILL DR
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City | BOWIE
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State | MD
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Zip | 20721-6224
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Country | US
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Telephone | 240-832-4959
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Fax |
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Provider Business Mailing Address
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Address Line | 903 JENNINGS MILL DR
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City | BOWIE
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State | MD
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Zip | 20721-6224
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Country | US
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Telephone | 240-832-4959
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ALIA BLAND EPPS
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Credential | OTR/L
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Telephone | 240-832-4959
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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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