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General NPI Number Information
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NPI Number | 1053057513
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Entity Type | Organization
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Legal Business Name | JUMMYOLA CARE LLC
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 3970 POST RD
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City | WARWICK
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State | RI
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Zip | 02886-9235
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Country | US
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Telephone | 401-648-9146
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Fax | 401-735-1847
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Provider Business Mailing Address
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Address Line | 3970 POST RD
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City | WARWICK
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State | RI
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Zip | 02886-9235
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Country | US
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Telephone | 401-648-9146
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Fax | 401-735-1847
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Authorized Official
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Title or Position | OWNER/ DIRECTOR OF OPERATIONS
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Name | OLAJUMOKE OLAGUNDOYE
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Credential |
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Telephone | 401-648-9146
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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 | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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