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General NPI Number Information
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NPI Number | 1942529664
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Entity Type | Organization
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Legal Business Name | OPTIMAL HEALTH CARE INC
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 11377 ROBINWOOD DR STE 101
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6713
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Country | US
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Telephone | 301-790-4962
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Fax | 301-790-4951
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Provider Business Mailing Address
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Address Line | 11377 ROBINWOOD DR STE 101
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6713
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Country | US
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Telephone | 301-790-4962
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Fax | 301-790-4951
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JACOB MINANG
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Credential |
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Telephone | 301-790-4962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R2865
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License Number State | MD
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Taxonomy #2
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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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