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General NPI Number Information
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NPI Number | 1962171363
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Entity Type | Organization
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Legal Business Name | AMYSVILLE HOME HEALTH, LLC
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 11113 BALTIMORE AVE UNIT 126
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City | BELTSVILLE
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State | MD
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Zip | 20705-2149
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Country | US
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Telephone | 301-302-5128
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Fax | 240-204-9067
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Provider Business Mailing Address
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Address Line | 1715 MILL BRANCH DR
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City | LAUREL
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State | MD
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Zip | 20708-3414
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Country | US
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Telephone | 301-300-6579
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABIBATU KAMARA
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Credential |
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Telephone | 301-302-5128
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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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