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NPI 1962689356

NPI 1962689356 : DEPENDABLE NURSING SERVICES,LLC : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1962689356
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEPENDABLE NURSING SERVICES,LLC 
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Dates
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    Enumeration Date     |    01/28/2008
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    Last Update Date     |    01/28/2008
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Provider Practice Location Address
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    Address Line         |    6310 FAIR OAKS AVE 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21214-1120
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    Country              |    US
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    Telephone            |    410-444-5500
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    Fax                  |    410-444-5378
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Provider Business Mailing Address
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    Address Line         |    6310 FAIR OAKS AVE 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21214-1120
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    Country              |    US
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    Telephone            |    410-444-5500
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    Fax                  |    410-444-5378
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. UGBOAKU EZINNA ESOCHAGHI 
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    Credential           |    
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    Telephone            |    410-444-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    R2098
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    License Number State |    MD
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