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General NPI Number Information
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NPI Number | 1598800211
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Entity Type | Organization
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Legal Business Name | MOFRANKAL HEALTHCARE SERVICES
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 2300 GARRISON BLVD #106
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City | BALTIMORE
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State | MD
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Zip | 21216-2335
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Country | US
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Telephone | 410-945-7470
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Fax | 410-945-7459
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Provider Business Mailing Address
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Address Line | 2300 GARRISON BLVD #106
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City | BALTIMORE
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State | MD
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Zip | 21216-2335
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Country | US
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Telephone | 410-945-7470
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Fax | 443-283-4079
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Authorized Official
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Title or Position | CEO
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Name | MR. OHIREIME BODUNRIN
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Credential |
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Telephone | 410-945-7470
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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 | 05-278
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License Number State | VA
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