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General NPI Number Information
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NPI Number | 1376909747
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Entity Type | Organization
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Legal Business Name | ALPHA HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 01/24/2016
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Provider Practice Location Address
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Address Line | 4920 NIAGARA RD SUITE 102
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City | COLLEGE PARK
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State | MD
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Zip | 20740-1110
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Country | US
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Telephone | 301-637-7078
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Fax | 301-345-9200
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Provider Business Mailing Address
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Address Line | 4920 NIAGARA RD SUITE 102
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City | COLLEGE PARK
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State | MD
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Zip | 20740-1110
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Country | US
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Telephone | 301-637-7078
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | OLUBUNMI SALAMI
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Credential |
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Telephone | 301-637-7078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | R3823R
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | R3823R
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R3823R
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | R3823R
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | R3823R
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R3823R
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License Number State | MD
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