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General NPI Number Information
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NPI Number | 1033591300
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Entity Type | Organization
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Legal Business Name | CYMATEX CONSULTS, LLC
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 9453 FENS HOLW
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City | LAUREL
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State | MD
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Zip | 20723-5734
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Country | US
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Telephone | 240-646-2214
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Fax |
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Provider Business Mailing Address
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Address Line | 14440 CHERRY LANE CT STE 102
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City | LAUREL
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State | MD
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Zip | 20707-4946
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Country | US
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Telephone | 240-646-2214
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Fax | 240-650-0860
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. LLOYD AMAGHIONYEODIWE
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Credential |
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Telephone | 240-646-2214
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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 | R3743P
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License Number State | MD
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