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General NPI Number Information
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NPI Number | 1962479295
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Entity Type | Organization
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Legal Business Name | MOFRANKAL HEALTHCARE SERVICES
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6969 RICHMOND HWY SUITE# 101
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City | ALEXANDRIA
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State | VA
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Zip | 22306-1839
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Country | US
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Telephone | 703-768-7351
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Fax | 703-768-7832
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Provider Business Mailing Address
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Address Line | 2300 GARRISON BLVD SUITE# 106
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City | BALTIMORE
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State | MD
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Zip | 21216-2308
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Country | US
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Telephone | 410-945-7470
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Fax | 410-945-7459
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. REIM ADEDAYO BODUNRIN
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Credential |
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Telephone | 410-945-7470
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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 | HCO278
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License Number State | VA
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