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General NPI Number Information
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NPI Number | 1104365642
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Entity Type | Organization
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Legal Business Name | ARLINGTON COUNTY GOVERNMENT
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 2909 16TH ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-4974
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Country | US
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Telephone | 703-228-5340
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Fax |
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Provider Business Mailing Address
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Address Line | 2909 16TH ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-4974
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Country | US
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Telephone | 703-228-5340
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL DIGERONIMO
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Credential | CTRS
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Telephone | 703-228-5340
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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 | ADC113670-L155
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License Number State | VA
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