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General NPI Number Information
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NPI Number | 1821741588
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Entity Type | Organization
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Legal Business Name | MAYSTANZ HOME CARE
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 5029 FALLS OF NEUSE RD STE 216
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City | RALEIGH
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State | NC
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Zip | 27609-5498
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Country | US
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Telephone | 919-389-3454
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Fax |
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Provider Business Mailing Address
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Address Line | 5902 PADUCAH DR
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City | RALEIGH
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State | NC
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Zip | 27610-1174
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Country | US
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Telephone | 919-389-3454
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Fax | 919-400-4613
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Authorized Official
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Title or Position | CEO
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Name | STANLEY OKEZIE ONYEABO
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Credential |
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Telephone | 919-389-3454
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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