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General NPI Number Information
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NPI Number | 1285215764
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Entity Type | Organization
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Legal Business Name | JUBILEE HEALTH VENTURES, LLC
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1300 MERCANTILE LN STE 129-5
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5327
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Country | US
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Telephone | 240-510-3331
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Fax | 240-764-6789
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Provider Business Mailing Address
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Address Line | 1300 MERCANTILE LN STE 129-5
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5327
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Country | US
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Telephone | 240-510-3331
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Fax | 240-764-6789
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | OLIVIA ONYECHI
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Credential |
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Telephone | 240-510-3331
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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