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General NPI Number Information
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NPI Number | 1841958840
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Entity Type | Organization
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Legal Business Name | MAISON MEDICAL INC.
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 7617 LITTLE RIVER TPKE STE 710
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City | ANNANDALE
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State | VA
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Zip | 22003-2635
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Country | US
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Telephone | 614-906-4627
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Fax |
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Provider Business Mailing Address
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Address Line | 132 SKY HTS
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City | IRVINE
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State | CA
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Zip | 92602-1877
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Country | US
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Telephone | 614-906-4627
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | DR. ANAND NILAKANTAN
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Credential | DO
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Telephone | 614-906-4627
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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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