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General NPI Number Information
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NPI Number | 1003205691
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Entity Type | Organization
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Legal Business Name | QUICKSTART HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 9812 DEE WAY
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-1754
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Country | US
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Telephone | 443-438-8743
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Fax | 410-574-9797
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Provider Business Mailing Address
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Address Line | 9812 DEE WAY
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-1754
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Country | US
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Telephone | 443-438-8743
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Fax | 410-574-9797
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Authorized Official
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Title or Position | CEO/PROGRAM ADMINISTRATOR
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Name | MRS. OLAYEMI OLAJUMOKE KILO
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Credential |
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Telephone | 443-623-2446
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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 | R3693
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License Number State | MD
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