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General NPI Number Information
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NPI Number | 1952168478
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Entity Type | Organization
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Legal Business Name | ON TIME HOME HEALTH SERVICES
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 5906 PARK HEIGHTS AVE STE 107-19
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City | BALTIMORE
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State | MD
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Zip | 21215-3631
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Country | US
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Telephone | 301-433-8068
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 CENTRAL AVE STE 207
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City | LANDOVER
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State | MD
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Zip | 20785-4868
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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 | DIRECTOR
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Name | DEBORAH AZUINE
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Credential |
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Telephone | 240-429-2874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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