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General NPI Number Information
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NPI Number | 1003029380
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Entity Type | Organization
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Legal Business Name | SPRINGHOUSE OF BETHESDA
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4925 BATTERY LN
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City | BETHESDA
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State | MD
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Zip | 20814-4978
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Country | US
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Telephone | 301-652-1445
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Fax | 301-652-4737
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Provider Business Mailing Address
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Address Line | 4925 BATTERY LN
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City | BETHESDA
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State | MD
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Zip | 20814-4978
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Country | US
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Telephone | 301-652-1445
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Fax | 301-652-4737
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MICHELLE L. SALEH
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Credential |
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Telephone | 301-652-1445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 15AL0631
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License Number State | MD
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