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General NPI Number Information
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NPI Number | 1922582782
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Entity Type | Organization
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Legal Business Name | PUGH'S PATIENT CARE SERVICES
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 11793 SOMERSET AVE
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-1240
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Country | US
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Telephone | 410-621-5701
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Fax | 443-888-6317
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Provider Business Mailing Address
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Address Line | 11793 SOMERSET AVE
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-1240
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Country | US
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Telephone | 410-621-5701
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Fax | 443-888-6317
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Authorized Official
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Title or Position | OWNER
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Name | LYNNELL FLETCHER-PUGH
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Credential |
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Telephone | 443-944-7515
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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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