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General NPI Number Information
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NPI Number | 1720643406
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Entity Type | Organization
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Legal Business Name | SURE STEPS HEALTH CARE SERVICES INC.
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 940 MADISON AVE
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City | BALTIMORE
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State | MD
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Zip | 21201-2113
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Country | US
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Telephone | 443-449-6193
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Fax | 443-708-2603
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Provider Business Mailing Address
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Address Line | 940 MADISON AVE
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City | BALTIMORE
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State | MD
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Zip | 21201-2113
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Country | US
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Telephone | 443-449-6193
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Fax | 443-708-2603
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. OLUWAKEMI OTUBANJO
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Credential | RN BSN
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Telephone | 443-257-9394
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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 |
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License Number State |
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Taxonomy #2
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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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