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General NPI Number Information
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NPI Number | 1932424280
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Entity Type | Organization
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Legal Business Name | PATIENCE HEALTH CARE
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 6153 RADECKE AVE
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City | BALTIMORE
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State | MD
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Zip | 21206-2933
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Country | US
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Telephone | 443-909-5247
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Fax |
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Provider Business Mailing Address
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Address Line | 6153 RADECKE AVE
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City | BALTIMORE
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State | MD
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Zip | 21206-2933
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Country | US
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Telephone | 443-909-5247
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS NANCY NYAMBURA MWANGI
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Credential | CNA
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Telephone | 443-801-8693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R2833
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License Number State | MD
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