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General NPI Number Information
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NPI Number | 1083147094
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Entity Type | Organization
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Legal Business Name | REBUILDING TOGETHER ARLINGTON/FAIRFAX/FALLS CHURCH
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 10723 MAIN ST # 135
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City | FAIRFAX
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State | VA
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Zip | 22030-6905
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Country | US
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Telephone | 703-528-1999
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Fax | 703-528-1197
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Provider Business Mailing Address
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Address Line | 10723 MAIN ST # 135
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City | FAIRFAX
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State | VA
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Zip | 22030-6905
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Country | US
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Telephone | 703-528-1999
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Fax | 703-528-1197
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. PATRICIA KLEIN
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Credential |
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Telephone | 571-933-6429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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