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General NPI Number Information
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NPI Number | 1871363408
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Entity Type | Organization
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Legal Business Name | DOVE HOME CARE NURSING SERVICES LLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 6340 SECURITY BLVD STE 100B47
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City | BALTIMORE
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State | MD
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Zip | 21207-5173
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Country | US
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Telephone | 410-826-7256
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Fax |
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Provider Business Mailing Address
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Address Line | 6340 SECURITY BLVD STE 100B47
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City | BALTIMORE
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State | MD
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Zip | 21207-5173
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Country | US
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Telephone | 410-826-7256
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RUTH NAGAYI
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Credential |
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Telephone | 410-826-7256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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