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General NPI Number Information
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NPI Number | 1942479431
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Entity Type | Organization
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Legal Business Name | DYNAMIC HEALTH MANAGEMENT INC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 6306 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-1349
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Country | US
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Telephone | 410-254-3910
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Fax | 410-254-3911
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Provider Business Mailing Address
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Address Line | P. O. BOX 19416
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City | BALTIMORE
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State | MD
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Zip | 21214
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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 | ACCOUNTANT
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Name | MR. FESTUS ARAUWOU
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Credential |
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Telephone | 410-254-3910
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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 | R2211
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License Number State | MD
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