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General NPI Number Information
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NPI Number | 1184422743
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Entity Type | Organization
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Legal Business Name | BEULAHCO HOME CARE SERVICES
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 964 WINTER RUN RD
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-1854
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Country | US
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Telephone | 443-730-3650
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Fax |
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Provider Business Mailing Address
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Address Line | 311 BLACK OPAL DR
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City | JARRELL
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State | TX
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Zip | 76537-0818
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Country | US
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Telephone | 443-730-3650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUNMIBOLA VICTORIA OGUNLEYE
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Credential |
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Telephone | 443-730-3650
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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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