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General NPI Number Information
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NPI Number | 1073729471
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Entity Type | Organization
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Legal Business Name | RASKAS VENTURES
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 26137 RIDGE RD
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City | DAMASCUS
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State | MD
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Zip | 20872-1867
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Country | US
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Telephone | 301-253-2764
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Fax |
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Provider Business Mailing Address
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Address Line | 26137 RIDGE RD
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City | DAMASCUS
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State | MD
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Zip | 20872-1867
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Country | US
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Telephone | 301-253-2764
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MEIR RASKAS
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Credential |
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Telephone | 301-253-2764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 18138
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License Number State | MD
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