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General NPI Number Information
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NPI Number | 1134081664
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Entity Type | Organization
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Legal Business Name | JOAN HEALTHCARE SERVCES
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 15401 POCOPSON CREEK WAY
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City | BRANDYWINE
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State | MD
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Zip | 20613-6242
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Country | US
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Telephone | 240-646-4164
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Fax | 240-646-4164
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Provider Business Mailing Address
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Address Line | 15401 POCOPSON CREEK WAY
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City | BRANDYWINE
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State | MD
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Zip | 20613-6242
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Country | US
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Telephone | 240-646-4164
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Fax | 240-646-4164
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Authorized Official
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Title or Position | OPERATOR/MANAGER
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Name | MS. BLESSING IKWUOMA OJUKWU
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Credential | PATIENT CARE TECH
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Telephone | 240-646-4164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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