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General NPI Number Information
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NPI Number | 1558982645
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Entity Type | Organization
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Legal Business Name | BLESS AMERICA HOME HEALTH CARE
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 7401 NEW HAMPSHIRE AVE STE 2107401
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6945
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Country | US
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Telephone | 240-476-9597
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Fax | 301-433-4899
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Provider Business Mailing Address
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Address Line | 7401 NEW HAMPSHIRE AVE STE 2107401
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6945
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Country | US
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Telephone | 240-476-9597
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Fax | 301-433-4899
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MR. FOUSSENI MOHAMMAN BOURAIMA
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Credential |
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Telephone | 240-476-9597
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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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