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General NPI Number Information
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NPI Number | 1154446458
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Entity Type | Organization
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Legal Business Name | INFINITY NURSING SERVICES, INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18549 BROOKE RD
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City | SANDY SPRING
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State | MD
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Zip | 20860-1414
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Country | US
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Telephone | 301-260-1208
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Fax |
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Provider Business Mailing Address
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Address Line | 18549 BROOKE RD
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City | SANDY SPRING
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State | MD
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Zip | 20860-1414
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Country | US
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Telephone | 301-260-1208
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. GRACE FUNKE OBEBE
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Credential | RN
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Telephone | 301-260-1208
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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 | R1190
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License Number State | MD
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