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General NPI Number Information
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NPI Number | 1689785347
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Entity Type | Organization
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Legal Business Name | BELTWAY NURSING SERVICES LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7412 GEORGIA AVE NW SUITE # 3
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City | WASHINGTON
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State | DC
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Zip | 20012-1754
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Country | US
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Telephone | 202-541-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 7412 GEORGIA AVE NW SUITE # 3
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City | WASHINGTON
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State | DC
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Zip | 20012-1754
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Country | US
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Telephone | 202-541-9500
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ABAYOMI TOMORI AJIBOLA
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Credential |
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Telephone | 202-541-9500
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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 | CON 0305
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License Number State | DC
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