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General NPI Number Information
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NPI Number | 1790628741
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Entity Type | Organization
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Legal Business Name | SALLYBOA VENTURES LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 1805 OCEAN SHORE LN
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City | SALISBURY
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State | MD
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Zip | 21801-2588
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Country | US
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Telephone | 443-669-9029
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Fax |
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Provider Business Mailing Address
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Address Line | 2636 N SALISBURY BLVD # 1091
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City | SALISBURY
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State | MD
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Zip | 21801-2141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | BOAHEN APPIAH-AGYEI
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Credential |
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Telephone | 443-669-9029
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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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