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NPI 1740881572

NPI 1740881572 : RELEGATE CONCIERGE SERVICES LLC. : OWINGS MILLS, MD

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General NPI Number Information
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    NPI Number           |    1740881572
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELEGATE CONCIERGE SERVICES LLC. 
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Dates
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    Enumeration Date     |    11/06/2020
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    Last Update Date     |    11/06/2020
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Provider Practice Location Address
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    Address Line         |    11817 GREENSPRING AVE 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-1657
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    Country              |    US
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    Telephone            |    410-864-1088
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11817 GREENSPRING AVE 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-1657
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    Country              |    US
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    Telephone            |    410-864-1088
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     BABATUNDE O OGUNBAJO 
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    Credential           |    
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    Telephone            |    410-864-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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