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General NPI Number Information
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NPI Number | 1992139067
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Entity Type | Organization
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Legal Business Name | NURSES ADVANTAGE INC
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 14411 SECRETARIAT DR
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City | BOWIE
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State | MD
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Zip | 20721-1288
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Country | US
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Telephone | 240-417-2368
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Fax | 240-554-1456
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Provider Business Mailing Address
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Address Line | 14411 SECRETARIAT DR
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City | BOWIE
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State | MD
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Zip | 20721-1288
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Country | US
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Telephone | 240-417-2368
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Fax | 240-554-1456
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KINNEY Y AJIBOYE
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Credential |
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Telephone | 240-417-2368
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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 | 130301
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License Number State | MD
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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 | 1303001
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License Number State | MD
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