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General NPI Number Information
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NPI Number | 1881276145
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Entity Type | Organization
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Legal Business Name | ACE OF HEARTS MEDICAL
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 1125 WEST ST
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4198
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Country | US
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Telephone | 410-928-4226
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Fax | 888-909-8958
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Provider Business Mailing Address
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Address Line | 107 RIDGELY AVE
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1417
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Country | US
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Telephone | 410-928-4226
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Fax | 888-909-3217
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Authorized Official
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Title or Position | OWNER
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Name | MR. SEGA M FOYE
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Credential |
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Telephone | 443-603-4207
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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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