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General NPI Number Information
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NPI Number | 1982762092
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Entity Type | Organization
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Legal Business Name | PENINSULA HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 514 W STEIN HWY
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City | SEAFORD
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State | DE
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Zip | 19973-1202
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Country | US
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Telephone | 302-629-5672
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Fax | 302-628-1587
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Provider Business Mailing Address
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Address Line | 514 W STEIN HWY
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City | SEAFORD
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State | DE
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Zip | 19973-1202
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Country | US
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Telephone | 302-629-5672
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Fax | 302-628-1587
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARY CHRISTINE OBIER
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Credential |
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Telephone | 302-629-5672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1995113780
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License Number State | DE
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