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Individual
BASIRU SAMBA
Active
Individual
BASIRU SAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R159377
MD
163WA2000X
Administrator Registered Nurse
R155931
MD
164W00000X
Licensed Practical Nurse
LP34564
MD
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
247200000X
Other Technician
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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