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General NPI Number Information
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NPI Number | 1992126932
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Entity Type | Organization
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Legal Business Name | INFINITY HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 12/18/2013
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Provider Practice Location Address
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Address Line | 8611 LUGANO ROAD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133
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Country | US
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Telephone | 443-982-3052
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Fax | 410-680-6598
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Provider Business Mailing Address
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Address Line | 8611 LUGANO RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4413
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Country | US
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Telephone | 443-982-3052
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Fax | 410-680-6598
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Authorized Official
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Title or Position | CEO
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Name | MR. MARTIN AWUNG
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Credential |
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Telephone | 443-982-3052
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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 | R3496
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License Number State | MD
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