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General NPI Number Information
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NPI Number | 1295131894
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Entity Type | Organization
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Legal Business Name | BLAIR TEMPORARIES AND STAFFING DBA ADVANCE HOME HEALTHCARE
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 11002 VEIRS MILL RD SUITE 738
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City | WHEATON
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State | MD
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Zip | 20902-2574
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Country | US
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Telephone | 301-962-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 11002 VEIRS MILL RD SUITE 738
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City | WHEATON
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State | MD
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Zip | 20902-2574
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | SHIRL TAYLOR
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Credential | RN
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Telephone | 301-962-6200
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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 | R3349
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License Number State | MD
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