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General NPI Number Information
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NPI Number | 1891141842
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Entity Type | Organization
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Legal Business Name | PATIENT TRUST HEALTH CARE SERVICES
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 2001 HACKBERRY RD
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City | ESSEX
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State | MD
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Zip | 21221-1708
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Country | US
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Telephone | 443-571-4937
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 HACKBERRY RD
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City | ESSEX
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State | MD
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Zip | 21221-1708
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Country | US
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Telephone | 443-571-4937
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | OTUOMA ESOCHAGHI
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Credential |
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Telephone | 443-571-4937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | R3894
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R3894
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License Number State | MD
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