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General NPI Number Information
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NPI Number | 1891518692
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Entity Type | Organization
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Legal Business Name | CMAG HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 11155 DOLFIELD BLVD STE 110
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3289
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Country | US
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Telephone | 410-517-2624
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Fax |
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Provider Business Mailing Address
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Address Line | 11155 DOLFIELD BLVD STE 110
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3289
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANGELA IVY GUSTUS
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Credential |
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Telephone | 410-517-2624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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