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General NPI Number Information
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NPI Number | 1447500459
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Entity Type | Organization
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Legal Business Name | AMERICAN QUALITY
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 7600 MAPLE AVE APT 704
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City | TAKOMA PARK
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State | MD
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Zip | 20912-5552
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Country | US
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Telephone | 301-219-4507
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 MAPLE AVE APT 704
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City | TAKOMA PARK
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State | MD
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Zip | 20912-5552
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Country | US
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Telephone | 301-219-4507
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Fax |
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Authorized Official
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Title or Position | HOME HEALTH AID
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Name | MS. TIDO CAROL KENGNE
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Credential |
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Telephone | 301-219-4507
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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 | K-525-793-004-062
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License Number State | MD
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