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NPI 1255331500

NPI 1255331500 : ON Q NURSING SERVICES L.L.C. : BEL AIR, MD

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General NPI Number Information
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    NPI Number           |    1255331500
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    Entity Type          |    Organization 
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    Legal Business Name  |    ON Q NURSING SERVICES L.L.C. 
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Dates
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    Enumeration Date     |    07/28/2005
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    139 N MAIN ST SUITE 308
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    City                 |    BEL AIR
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    State                |    MD
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    Zip                  |    21014-8843
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    Country              |    US
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    Telephone            |    410-879-0005
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    Fax                  |    410-420-2266
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Provider Business Mailing Address
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    Address Line         |    139 N MAIN ST SUITE 308
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    City                 |    BEL AIR
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    State                |    MD
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    Zip                  |    21014-8843
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    Country              |    US
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    Telephone            |    410-879-0005
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    Fax                  |    410-420-2266
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Authorized Official
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    Title or Position    |    CEO/COO
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    Name                 |    MISS QUERIDA LYNNE LOPEZ 
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    Credential           |    
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    Telephone            |    410-879-0005
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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       |    R2085
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    License Number State |    MD
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