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General NPI Number Information
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NPI Number | 1285042101
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Entity Type | Organization
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Legal Business Name | OBIMEM CARING HAND LLC
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 1055 TAYLOR AVE STE 208
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City | BALTIMORE
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State | MD
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Zip | 21286-8333
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Country | US
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Telephone | 410-419-3358
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Fax | 410-853-7604
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Provider Business Mailing Address
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Address Line | 1055 TAYLOR AVE STE 208
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City | BALTIMORE
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State | MD
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Zip | 21286-8333
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Country | US
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Telephone | 410-419-3358
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Fax | 410-853-7604
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ANDREW EMEKA OBIEFULE SR.
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Credential | LPN
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Telephone | 410-419-3358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R3584R
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License Number State | MD
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