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General NPI Number Information
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NPI Number | 1689929093
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Entity Type | Organization
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Legal Business Name | NORTH AMERICAN HEALTH SERVICES & SUPPLIES LLC
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 12 N COURT ST SUITE 2
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City | WESTMINSTER
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State | MD
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Zip | 21157-5313
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Country | US
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Telephone | 443-821-3995
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Fax | 443-821-3996
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Provider Business Mailing Address
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Address Line | 763 CARBIDE DR
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City | WESTMINSTER
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State | MD
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Zip | 21158-9472
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Country | US
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Telephone | 443-821-3995
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Fax | 443-821-3996
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Authorized Official
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Title or Position | ADMINSTRATOR/OWNER
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Name | CHRISTIAN ANABA NWAUKWA
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Credential | B.SC-MT; M.SC
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Telephone | 443-821-3995
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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 | R3203
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License Number State | MD
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