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NPI 1700660123

NPI 1700660123 : NAJMA CARE LLC : MADISON, WI

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General NPI Number Information
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    NPI Number           |    1700660123
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAJMA CARE LLC 
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Dates
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    Enumeration Date     |    08/24/2023
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    Last Update Date     |    08/24/2023
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Provider Practice Location Address
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    Address Line         |    3141 MAPLE VALLEY DR APT 102 
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    City                 |    MADISON
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    State                |    WI
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    Zip                  |    53719-3161
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    Country              |    US
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    Telephone            |    608-320-2842
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3141 MAPLE VALLEY DR APT 102 
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    City                 |    MADISON
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    State                |    WI
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    Zip                  |    53719-3161
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    Country              |    US
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    Telephone            |    608-320-2842
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     IBRAHIM HAJJ ALI 
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    Credential           |    
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    Telephone            |    608-320-2842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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