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General NPI Number Information
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NPI Number | 1033341797
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Entity Type | Organization
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Legal Business Name | GW HOMECARE INC.
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 2413 BENNING RD NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4827
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Country | US
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Telephone | 202-388-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 2413 BENNING RD NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4827
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Country | US
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Telephone | 202-388-1124
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. CORDELIA OBIAGELI NWONWU
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Credential | MD&RN(BOTH ELIGIBLE)
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Telephone | 202-388-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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