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General NPI Number Information
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NPI Number | 1295900785
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Entity Type | Organization
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Legal Business Name | ZION FOUNDATION FOR CITIZENS
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 6129 MAIN ST
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City | LANHAM
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State | MD
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Zip | 20706-2754
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Country | US
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Telephone | 301-731-5195
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Fax | 301-577-4292
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Provider Business Mailing Address
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Address Line | 6129 MAIN ST
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City | LANHAM
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State | MD
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Zip | 20706-2754
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Country | US
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Telephone | 301-731-5195
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Fax | 301-577-4292
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JASPER ONYEKACHI EZEIGBO JR.
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Credential | B.A., M.A.
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Telephone | 240-375-3342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | E221373662628
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License Number State | MD
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