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General NPI Number Information
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NPI Number | 1548195118
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Entity Type | Organization
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Legal Business Name | MEGASOURCE PROVIDERS INC.
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 11424 PULASKI HWY STE 2
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City | WHITE MARSH
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State | MD
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Zip | 21162-1529
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Country | US
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Telephone | 410-670-1893
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Fax |
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Provider Business Mailing Address
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Address Line | 11424 PULASKI HWY STE 2
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City | WHITE MARSH
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State | MD
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Zip | 21162-1529
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Country | US
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Telephone | 410-670-1893
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | OLUKANYE ANTHONY ELEKO
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Credential |
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Telephone | 443-325-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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