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NPI Code Detail

MEDICARE: MR. FNU JULIUS NKONGHO BESONG

MEDICARE: MR. FNU JULIUS NKONGHO BESONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215292073
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FNU JULIUS NKONGHO BESONG
Provider Business Mailing Address
First Line : 6931 ALLISON ST
Second Line : APT C2
City : LANDOVER HILLS
State : MD
Zip : 20784-2037
Country : US
Telephone Number : 202-291-7226
Fax Number : 202-291-4009
Provider Business Practice Location Address
First Line : 439 ONEIDA PL NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-2150
Country : US
Telephone Number : 202-291-7226
Fax Number : 202-291-4009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2012
Last Update Date : 07/09/2012

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