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General NPI Number Information
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NPI Number | 1396306296
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Entity Type | Organization
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Legal Business Name | R.A. QUARSHIE HEALTHCARE LLC
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Dates
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Enumeration Date | 06/23/2019
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 10560 MAIN ST STE 98-12
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City | FAIRFAX
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State | VA
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Zip | 22030-7182
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Country | US
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Telephone | 703-825-4508
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Fax | 240-428-6009
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Provider Business Mailing Address
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Address Line | 10560 MAIN ST STE 98-12
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City | FAIRFAX
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State | VA
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Zip | 22030-7182
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Country | US
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Telephone | 703-825-4508
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Fax | 240-428-6009
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADELAIDE ETSE
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Credential |
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Telephone | 202-486-1894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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