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A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Meals |
174200000X |
| NPI Number | 1104457993 |
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| LBN Legal business name | CAPITALS PIZZERIA | ||||
| Authorized official | ABDULBASIT JENKINS - (OWNER/ MANAGING MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/30/2020 | ||||
| Last updated | 01/30/2020 - About 6 years ago | ||||
| Identifiers |
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CAPITALS PIZZERIA
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