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General NPI Number Information
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NPI Number | 1871872234
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Entity Type | Organization
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Legal Business Name | LIFECARE GROUP, INC
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 5550 STERRETT PL STE 314
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City | COLUMBIA
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State | MD
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Zip | 21044-2628
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Country | US
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Telephone | 410-910-9425
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 STERRETT PL SUITE 314
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City | COLUMBIA
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State | MD
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Zip | 21044-2611
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Country | US
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Telephone | 410-910-9425
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. MAX MINEVICH
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Credential |
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Telephone | 410-910-9425
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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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