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General NPI Number Information
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NPI Number | 1639415094
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Entity Type | Organization
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Legal Business Name | AMERICAN QUALITY HOME CARE SERVICES INC.
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 1215 HOLBROOK TER NE APT 2
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City | WASHINGTON
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State | DC
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Zip | 20002-2714
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Country | US
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Telephone | 202-538-4693
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 HOLBROOK TER NE APT 2
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City | WASHINGTON
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State | DC
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Zip | 20002-2714
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Country | US
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Telephone | 202-538-4693
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Fax |
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Authorized Official
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Title or Position | HOME HEALTH AIDE
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Name | ROBERT L JOHNSON JR.
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Credential |
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Telephone | 202-538-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 29664105
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License Number State | DC
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