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General NPI Number Information
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NPI Number | 1245046275
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Entity Type | Organization
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Legal Business Name | FEMI QUALIFIED HOME CARE LLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 4111 LOCKPORT ST APT 200
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City | BISMARCK
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State | ND
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Zip | 58503-5438
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Country | US
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Telephone | 701-946-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 4111 LOCKPORT ST APT 200
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City | BISMARCK
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State | ND
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Zip | 58503-5438
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Country | US
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Telephone | 701-946-0377
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FEMINA MAMIE SOCLO
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Credential | BSC
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Telephone | 701-946-0377
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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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