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General NPI Number Information
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NPI Number | 1023652781
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Entity Type | Organization
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Legal Business Name | TLAY HEALTH CARE SERVICES,INC.
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 2021 CROSS CHURCH WAY
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-2398
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Country | US
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Telephone | 410-440-8763
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Fax | 301-322-4634
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Provider Business Mailing Address
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Address Line | 2021 CROSS CHURCH WAY
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-2398
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Country | US
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Telephone | 301-322-1020
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Fax | 301-322-4634
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | TITILAYO MI UNEGBU
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Credential | RN
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Telephone | 240-521-3031
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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