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General NPI Number Information
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NPI Number | 1306027313
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Entity Type | Organization
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Legal Business Name | QUALITY ASSURED HEALTHCARE PROVIDERS
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 1404 CRAIN HWY S 206
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4085
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Country | US
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Telephone | 410-787-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 CRAIN HWY S 206
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4085
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Country | US
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Telephone | 410-787-0999
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TOLULOPE SUNDAY OLUWOLE
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Credential |
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Telephone | 410-787-0999
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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 | R2464 (RSA LICENSE)
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License Number State | MD
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