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General NPI Number Information
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NPI Number | 1538778063
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Entity Type | Organization
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Legal Business Name | BADMUS INSURANCE AGENCY
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 46 SOLAR CIR APT A
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City | PARKVILLE
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State | MD
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Zip | 21234-6831
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Country | US
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Telephone | 443-948-2126
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Fax |
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Provider Business Mailing Address
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Address Line | 46 SOLAR CIR APT A
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City | PARKVILLE
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State | MD
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Zip | 21234-6831
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Country | US
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Telephone | 571-400-8461
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE PROGRAM DIRECTOR
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Name | MS. OLUWAPELUMI OLUKOTUN
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Credential | BSN, MSHA, APRN, CCM
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Telephone | 571-400-8461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 251X00000X
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Taxonomy Name | Supports Brokerage 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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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