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General NPI Number Information
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NPI Number | 1073662771
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Entity Type | Organization
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Legal Business Name | NATIONAL QUALITY AND REVIEW CORPORATION
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8800 PHILADELPHIA RD
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City | BALTIMORE
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State | MD
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Zip | 21237-4311
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Country | US
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Telephone | 410-574-2700
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Fax | 410-574-2462
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Provider Business Mailing Address
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Address Line | 5305 KENILWORTH AVE
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City | RIVERDALE
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State | MD
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Zip | 20737
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Country | US
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Telephone | 187-745-9617
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Fax | 301-699-9226
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Authorized Official
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Title or Position | ADMINISTRATOR CEO
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Name | MR. ANTHONY ISAMA
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Credential |
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Telephone | 18774596173
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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 | R1079
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License Number State | MD
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