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General NPI Number Information
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NPI Number | 1861155467
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Entity Type | Organization
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Legal Business Name | JOBEKA HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 1108 E MAIN ST STE 1000
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City | RICHMOND
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State | VA
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Zip | 23219-3535
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Country | US
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Telephone | 301-454-9603
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 ASHFORD DR
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-2794
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Country | US
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Telephone | 301-454-9603
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JOSEPH YUFENYUY JR.
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Credential |
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Telephone | 301-454-9603
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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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