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NPI 1043657794

NPI 1043657794 : VERIGREEN INC : CHEVERLY, MD

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General NPI Number Information
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    NPI Number           |    1043657794
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    Entity Type          |    Organization 
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    Legal Business Name  |    VERIGREEN INC 
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Dates
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    Enumeration Date     |    06/03/2013
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    Last Update Date     |    12/01/2014
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Provider Practice Location Address
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    Address Line         |    6492 LANDOVER RD SUITE B4
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    City                 |    CHEVERLY
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    State                |    MD
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    Zip                  |    20785-1451
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    Country              |    US
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    Telephone            |    301-377-1132
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    Fax                  |    202-241-3657
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Provider Business Mailing Address
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    Address Line         |    6492 LANDOVER RD SUITE B4
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    City                 |    CHEVERLY
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    State                |    MD
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    Zip                  |    20785-1451
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    Country              |    US
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    Telephone            |    301-377-1132
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    Fax                  |    202-241-3657
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. MOJISOLA ABIODUN MAKINDE 
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    Credential           |    3013771132
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    Telephone            |    301-377-1132
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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       |    R3414
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    License Number State |    MD
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