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General NPI Number Information
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NPI Number | 1023834504
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Entity Type | Organization
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Legal Business Name | DC MED HEALTHCARE INC
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 1619 28TH PL SE
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City | WASHINGTON
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State | DC
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Zip | 20020-3809
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Country | US
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Telephone | 202-415-4690
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Fax |
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Provider Business Mailing Address
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Address Line | 4082 LORCOM LN
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City | ARLINGTON
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State | VA
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Zip | 22207-3937
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Country | US
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Telephone | 202-415-4690
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AKWILINA PERRY
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Credential |
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Telephone | 202-415-4690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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