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General NPI Number Information
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NPI Number | 1902377336
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Entity Type | Organization
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Legal Business Name | ROYAL HOMECARE AND STAFFING LLC
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Dates
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Enumeration Date | 12/11/2018
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 2288 BLUE WATER BLVD. SUITE 327
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City | ODENTON
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State | MD
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Zip | 21113
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Country | US
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Telephone | 410-216-0307
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Fax | 443-458-6273
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Provider Business Mailing Address
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Address Line | 2288 BLUE WATER BLVD. SUITE 327
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City | ODENTON
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State | MD
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Zip | 21113
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Country | US
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Telephone | 410-216-0307
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Fax | 443-458-6273
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Authorized Official
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Title or Position | CEO
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Name | PHIONA QUINCY BAREEBE
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Credential |
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Telephone | 443-703-6078
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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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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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