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General NPI Number Information
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NPI Number | 1083271332
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Entity Type | Organization
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Legal Business Name | NURSING ACCREDITED SERVICE AT HOME INC.
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | BE4 CALLE 101 APT 2
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City | CAROLINA
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State | PR
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Zip | 00983-2189
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Country | US
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Telephone | 939-243-4550
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Fax | 787-752-9375
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Provider Business Mailing Address
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Address Line | BE4 CALLE 101 APT 2
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City | CAROLINA
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State | PR
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Zip | 00983-2189
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Country | US
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Telephone | 939-243-4550
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Fax | 787-752-9375
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BRENDA LIZ QUILES
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Credential | RN
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Telephone | 939-243-4550
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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 |
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License Number State |
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