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General NPI Number Information
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NPI Number | 1689385783
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Entity Type | Organization
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Legal Business Name | PEARLDAHLIA, LLC
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1521 AMERICAN WAY
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City | ABERDEEN
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State | MD
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Zip | 21001-1288
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Country | US
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Telephone | 443-655-3262
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 BEARDS HILL ROAD SUITE 101-M BOX 268
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City | ABERDEEN
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State | MD
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Zip | 21001
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Country | US
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Telephone | 443-655-3262
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA J GAINES-ONWUKWE
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Credential | NURSE PRACTITIONER
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Telephone | 443-655-3262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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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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Taxonomy #9
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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