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General NPI Number Information
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NPI Number | 1659865756
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Entity Type | Organization
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Legal Business Name | ABA HOME HEALTH CARE
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 821 KENNEDY ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-2913
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Country | US
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Telephone | 240-770-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 821 KENNEDY ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-2913
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Country | US
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Telephone | 240-770-5770
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Fax |
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Authorized Official
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Title or Position | HHA
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Name | JOHN-PAUL AFUNGCHWI ALINGWA
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Credential | JA
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Telephone | 240-770-5770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 112068469
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License Number State | MD
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