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General NPI Number Information
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NPI Number | 1659243855
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Entity Type | Organization
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Legal Business Name | ATAAM INC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1515 MARTIN BLVD STE 208
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-4103
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Country | US
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Telephone | 856-313-0646
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 WAMPLER RD
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-1816
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Country | US
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Telephone | 856-313-0646
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MODUPE GIWA
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Credential |
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Telephone | 410-374-7748
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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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