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General NPI Number Information
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NPI Number | 1881020196
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Entity Type | Organization
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Legal Business Name | GENERATIONS HOME HEALTH CARE
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 325 LOG CANOE CIR
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2108
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Country | US
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Telephone | 410-914-4833
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Fax | 866-418-0899
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Provider Business Mailing Address
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Address Line | 325 LOG CANOE CIR
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2108
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Country | US
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Telephone | 410-914-4833
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Fax | 866-418-0899
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | TOM SHANKLE
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Credential |
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Telephone | 410-914-4833
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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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