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General NPI Number Information
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NPI Number | 1083931059
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Entity Type | Organization
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Legal Business Name | HEARTLAND PERSONAL HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 1629 K ST NW
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 301-809-0777
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Fax | 301-809-0762
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Provider Business Mailing Address
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Address Line | 1629 K ST NW
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 301-809-0777
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Fax | 301-809-0762
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Authorized Official
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Title or Position | CEO
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Name | MS. TITI M LAWAL
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Credential | NURSE
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Telephone | 301-809-0777
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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 | NSA-0059
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License Number State | DC
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