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NPI 1740963685

NPI 1740963685 : EZZCARESERVICE LLC : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1740963685
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    Entity Type          |    Organization 
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    Legal Business Name  |    EZZCARESERVICE LLC 
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Dates
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    Enumeration Date     |    08/08/2023
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    Last Update Date     |    08/08/2023
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Provider Practice Location Address
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    Address Line         |    1676 MARYLAND AVE NE APT 438E 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20002-7694
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    Country              |    US
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    Telephone            |    202-498-3490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1676 MARYLAND AVE NE APT 438E 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20002-7694
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    Country              |    US
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    Telephone            |    202-498-3490
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. OLUWATOSIN  ONIKUTE 
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    Credential           |    
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    Telephone            |    202-498-3490
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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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