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General NPI Number Information
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NPI Number | 1447864780
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Entity Type | Individual
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Provider Name | BABONGCHU ALAMBEH
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Gender | Male
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 6931 ALLISON ST
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City | LANDOVER HILLS
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State | MD
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Zip | 20784-2037
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Country | US
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Telephone | 202-938-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 7740 FINNS LN
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City | LANHAM
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State | MD
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Zip | 20706-1323
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Country | US
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Telephone | 202-938-5380
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA15379
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License Number State | DC
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