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General NPI Number Information
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NPI Number | 1942570320
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Entity Type | Organization
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Legal Business Name | MOJA NURSING STAFF
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 4540 SUGAR MAPLE RD
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City | OXFORD
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State | NC
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Zip | 27565-6856
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Country | US
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Telephone | 919-603-3880
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Fax | 919-603-3880
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Provider Business Mailing Address
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Address Line | 4540 SUGAR MAPLE RD
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City | OXFORD
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State | NC
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Zip | 27565-6856
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Country | US
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Telephone | 919-603-3880
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Fax | 919-603-3880
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. WAITHERA A MWANGI-BRAXTON
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Credential | RN
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Telephone | 919-603-3880
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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 | 150932
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License Number State | NC
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