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General NPI Number Information
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NPI Number | 1164275186
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Entity Type | Organization
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Legal Business Name | QUEEN OF HEARTS HEALTH STUDIES, LLC.
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 8407 HARFORD RD
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City | PARKVILLE
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State | MD
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Zip | 21234-4637
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Country | US
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Telephone | 443-501-9175
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Fax |
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Provider Business Mailing Address
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Address Line | 8837 TRIMBLE WAY
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City | ROSEDALE
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State | MD
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Zip | 21237-3914
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Country | US
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Telephone | 443-501-9175
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PROF. TIESHA R BRISCOE
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Credential | MA, CPT, CPI
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Telephone | 443-501-9175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QL0900X
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Taxonomy Name | Laboratory Management Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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