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General NPI Number Information
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NPI Number | 1609955012
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Entity Type | Organization
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Legal Business Name | QUALITY NURSING AGENCY LLC
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 11 N PARKE ST SUITE A
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City | ABERDEEN
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State | MD
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Zip | 21001-2415
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Country | US
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Telephone | 443-866-0181
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Fax |
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Provider Business Mailing Address
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Address Line | 11 N PARKE ST SUITE A
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City | ABERDEEN
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State | MD
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Zip | 21001-2415
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN M MUNGAI
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Credential |
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Telephone | 443-866-0181
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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 | R2268
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License Number State | MD
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