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NPI 1912628231

NPI 1912628231 : MARYLAND HOME HEALTH HOLDINGS LLC : ROSEDALE, MD

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General NPI Number Information
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    NPI Number           |    1912628231
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARYLAND HOME HEALTH HOLDINGS LLC 
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Dates
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    Enumeration Date     |    09/06/2022
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    Last Update Date     |    02/27/2023
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Provider Practice Location Address
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    Address Line         |    1224 RACE RD STE 100 
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    City                 |    ROSEDALE
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    State                |    MD
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    Zip                  |    21237-2341
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    Country              |    US
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    Telephone            |    443-868-3604
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    100 CHALLENGER RD STE 105 
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    City                 |    RIDGEFIELD PARK
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    State                |    NJ
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    Zip                  |    07660-2121
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    Country              |    US
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    Telephone            |    443-868-3604
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE VICE PRESIDENT OPERATIONS
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    Name                 |     NATHAN  TEMPELMAN 
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    Credential           |    
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    Telephone            |    646-498-2231
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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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