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General NPI Number Information
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NPI Number | 1205091907
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Entity Type | Organization
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Legal Business Name | NOZANURSING & ELDERLY CARE
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 10379 NAVARONE PL
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City | MANASSAS
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State | VA
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Zip | 20110-7994
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Country | US
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Telephone | 703-396-8139
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Fax |
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Provider Business Mailing Address
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Address Line | 10379 NAVARONE PL
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City | MANASSAS
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State | VA
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Zip | 20110-7994
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Country | US
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Telephone | 703-396-8139
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OSMAN MASAHUDU
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Credential |
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Telephone | 703-396-8139
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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 | 0806270021
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License Number State | VA
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