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General NPI Number Information
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NPI Number | 1093465486
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Entity Type | Organization
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Legal Business Name | MAGNATE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 11705 BERRY RD STE 301-9
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City | WALDORF
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State | MD
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Zip | 20603-5933
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Country | US
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Telephone | 301-500-2535
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Fax | 301-453-6115
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Provider Business Mailing Address
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Address Line | 11705 BERRY RD STE 301-9
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City | WALDORF
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State | MD
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Zip | 20603-5933
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Country | US
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Telephone | 301-500-2535
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Fax | 301-453-6115
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | OKECHUKWU NWOSU
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Credential |
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Telephone | 301-500-2535
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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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