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General NPI Number Information
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NPI Number | 1558631606
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Entity Type | Organization
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Legal Business Name | BAYEAB HEALTH CARE SERVICES,INC
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 728 HAMILTON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-4032
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Country | US
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Telephone | 202-427-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 728 HAMILTON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1416
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Country | US
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Telephone | 202-427-1211
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. OLUFUNMILOLA A ENIOLA
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Credential | REGISTER NURSE
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Telephone | 202-427-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State | DC
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