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General NPI Number Information
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NPI Number | 1265745509
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Entity Type | Organization
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Legal Business Name | MT.ZION,INC
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 9319 LBJ FWY STE 112
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City | DALLAS
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State | TX
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Zip | 75243-3440
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Country | US
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Telephone | 301-891-1055
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Fax |
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Provider Business Mailing Address
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Address Line | 6480 NEW HAMPSHIRE AVE 303
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City | TAKOMA PARK
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State | MD
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Zip | 20912-4716
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Country | US
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Telephone | 301-891-1055
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GEORGE SAMWEL MWASALWIBA
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Credential |
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Telephone | 301-891-1055
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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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