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General NPI Number Information
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NPI Number | 1619425485
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Entity Type | Organization
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Legal Business Name | OPTIMA HEALTH CARE INC.
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 7103 UPPER MILLS CIR
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City | CATONSVILLE
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State | MD
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Zip | 21228-2416
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Country | US
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Telephone | 443-794-4339
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Fax | 410-788-3517
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Provider Business Mailing Address
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Address Line | 7103 UPPER MILLS CIR
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City | CATONSVILLE
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State | MD
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Zip | 21228-2416
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Country | US
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Telephone | 443-794-4339
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Fax | 410-788-3517
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ABIOLA IKOTUN
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Credential |
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Telephone | 443-794-4339
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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 | R2611
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License Number State | MD
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