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General NPI Number Information
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NPI Number | 1992161186
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Entity Type | Organization
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Legal Business Name | EXCELLENT HEALTHCARE NURSING SERVICES, INC.
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 6817 REAL PRINCESS LN
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City | GWYNN OAK
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State | MD
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Zip | 21207-4493
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Country | US
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Telephone | 410-984-7411
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Fax | 410-645-8828
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Provider Business Mailing Address
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Address Line | 6817 REAL PRINCESS LN
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City | GWYNN OAK
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State | MD
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Zip | 21207-4493
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Country | US
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Telephone | 410-984-7411
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Fax | 410-645-8828
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MR. INNOCENT AKPUAKA
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Credential | OWNER
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Telephone | 410-984-7411
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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 | R3805
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License Number State | MD
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