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General NPI Number Information
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NPI Number | 1851102800
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Entity Type | Organization
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Legal Business Name | ROSE HEALING HANDS LLC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 10001 DEREKWOOD LN STE 204-135
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City | LANHAM
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State | MD
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Zip | 20706-4804
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Country | US
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Telephone | 443-399-6764
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Fax |
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Provider Business Mailing Address
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Address Line | 3221 SWANN RD APT 101
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City | SUITLAND
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State | MD
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Zip | 20746-1326
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Country | US
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Telephone | 443-490-9157
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANITA WILKES
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Credential | CMA,CPT,CET
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Telephone | 443-490-9157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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