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General NPI Number Information
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NPI Number | 1972047132
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Entity Type | Organization
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Legal Business Name | CELESTIAL HOME HEALTH SERVICES AGENCY, LLC
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 1 CENTER SECTION CT
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City | BALTIMORE
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State | MD
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Zip | 21220-3505
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Country | US
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Telephone | 443-505-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CENTER SECTION CT
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City | BALTIMORE
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State | MD
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Zip | 21220-3505
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Country | US
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Telephone | 443-505-8701
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH R BROWN
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Credential |
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Telephone | 410-982-5968
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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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