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General NPI Number Information
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NPI Number | 1073920831
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Entity Type | Organization
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Legal Business Name | DIVINE MERCY HIGH QUALITY NURSING AGENCY INC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 3706 GREEN ASH CT
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City | BELTSVILLE
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State | MD
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Zip | 20705-3826
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Country | US
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Telephone | 301-556-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 3706 GREEN ASH CT
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City | BELTSVILLE
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State | MD
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Zip | 20705-3826
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Country | US
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Telephone | 301-556-6410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GRACE AFOMA ABRAHAM
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Credential |
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Telephone | 301-556-6410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | NS9912011
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NS9912011
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License Number State | MD
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