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General NPI Number Information
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NPI Number | 1104985753
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Entity Type | Organization
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Legal Business Name | AMAK HEALTH CARE AGENCY INC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 3258 MAIN STREET
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City | BUFFALO
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State | NY
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Zip | 14214
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Country | US
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Telephone | 716-832-0875
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Fax | 716-832-4836
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Provider Business Mailing Address
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Address Line | 3258 MAIN STREET
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City | BUFFALO
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State | NY
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Zip | 14214
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Country | US
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Telephone | 716-832-0875
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Fax | 716-832-4836
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | NKECHINYERE ORIAKU
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Credential |
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Telephone | 716-832-0875
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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 | 0677L001
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License Number State | NY
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