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General NPI Number Information
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NPI Number | 1003659723
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Entity Type | Organization
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Legal Business Name | BTSQUARED, LLC
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 9375 CHESAPEAKE ST STE 103
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City | LA PLATA
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State | MD
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Zip | 20646-3656
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Country | US
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Telephone | 240-696-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 9375 CHESAPEAKE ST STE 103
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City | LA PLATA
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State | MD
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Zip | 20646-3656
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Country | US
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Telephone | 240-696-2300
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KEVIN DWAYNE BODAS-TURNER
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Credential |
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Telephone | 641-680-3430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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