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General NPI Number Information
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NPI Number | 1366893471
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Entity Type | Organization
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Legal Business Name | QUALITY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 15413 POCOPSON CREEK WAY
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City | BRANDYWINE
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State | MD
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Zip | 20613-6242
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Country | US
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Telephone | 301-265-6786
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Fax | 301-328-2116
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Provider Business Mailing Address
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Address Line | 15413 POCOPSON CREEK WAY
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City | BRANDYWINE
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State | MD
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Zip | 20613-6242
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Country | US
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Telephone | 301-265-6786
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Fax | 301-328-2116
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MRS. TRACY U EJIM
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Credential |
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Telephone | 301-265-6786
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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 | R4025
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R4080
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License Number State | MD
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