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General NPI Number Information
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NPI Number | 1124647524
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Entity Type | Organization
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Legal Business Name | PARADIGM NURSING AGENCY LLC
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 3609 SAINT BARNABAS RD STE G
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City | SUITLAND
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State | MD
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Zip | 20746-3203
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Country | US
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Telephone | 240-300-2109
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Fax |
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Provider Business Mailing Address
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Address Line | 7277 WOOD HOLLOW TER
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-2081
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Country | US
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Telephone | 240-640-9394
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | SHARLENE BRIDGES-JONES
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Credential | R.N.
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Telephone | 240-200-2109
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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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