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General NPI Number Information
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NPI Number | 1568771657
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Entity Type | Organization
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Legal Business Name | OMEGA ACCESS SERVICES LLC
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 2 THISTEL DELL CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4526
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Country | US
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Telephone | 443-742-6253
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Fax | 410-741-3347
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Provider Business Mailing Address
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Address Line | 2 THISTEL DELL CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4526
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | ILIONELE EMMANUEL OKOJIE
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Credential | BSC MSC MBA TRANSPOR
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Telephone | 443-742-6253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 3144
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License Number State | MD
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