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General NPI Number Information
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NPI Number | 1093961625
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Entity Type | Organization
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Legal Business Name | MILITARY PROFESSIONAL RESOURCES, INC
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 1320 BRADDOCK PL SUITE 200
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1692
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Country | US
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Telephone | 703-664-2732
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 BRADDOCK PL SUITE 200
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1692
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Country | US
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Telephone | 703-664-2732
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. PAUL E NELL JR.
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Credential |
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Telephone | 703-664-2731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | PA 14545
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License Number State | CA
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