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General NPI Number Information
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NPI Number | 1447420435
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Entity Type | Organization
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Legal Business Name | GUARDIAN RESOURCES, INC.
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 22 CODY AVE
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City | PARKVILLE
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State | MD
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Zip | 21234-1376
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Country | US
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Telephone | 410-488-3990
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Fax | 410-488-3550
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Provider Business Mailing Address
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Address Line | 22 CODY AVE
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City | PARKVILLE
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State | MD
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Zip | 21234-1376
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Country | US
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Telephone | 410-488-3990
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Fax | 410-488-3550
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NNUOLA CHIKERENMA CHIJIOKE
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Credential | RN,
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Telephone | 410-488-3990
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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 | 0601002
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 30AL2925
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R2522
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License Number State | MD
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