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NPI Code Detail

MEDICARE: MR. EMMANUEL BILLEROUME

MEDICARE:  MR. EMMANUEL  BILLEROUME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideDC

General Provider Information

NPI Number : 1659714293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMMANUEL BILLEROUME
Provider Business Mailing Address
First Line : 631 SHERIDAN ST
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3225
Country : US
Telephone Number : 240-405-3032
Fax Number :
Provider Business Practice Location Address
First Line : 631 SHERIDAN ST APT 31
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3225
Country : US
Telephone Number : 240-405-3032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2013
Last Update Date : 04/13/2013

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Directions to “ MR. EMMANUEL BILLEROUME ” Practice Location

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