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General NPI Number Information
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NPI Number | 1992751986
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Entity Type | Organization
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Legal Business Name | LACY'S PROFESSIONAL NURSING SERVICES
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 2801 HEMLOCK AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-1246
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Country | US
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Telephone | 410-323-5767
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Fax | 410-323-5001
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Provider Business Mailing Address
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Address Line | 7602 TAMSIN CT
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City | ROSEDALE
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State | MD
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Zip | 21237-3752
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Country | US
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Telephone | 410-323-5767
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Fax | 410-325-5768
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DEBORAH LACY
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Credential | RN, MS
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Telephone | 410-323-5767
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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 | R2273
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License Number State | MD
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