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General NPI Number Information
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NPI Number | 1124027404
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Entity Type | Organization
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Legal Business Name | THE WASHINGTON HOME
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 3720 UPTON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2299
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Country | US
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Telephone | 301-560-6075
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Fax | 301-560-6075
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Provider Business Mailing Address
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Address Line | 3720 UPTON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2299
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Country | US
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Telephone | 202-895-0192
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Fax | 202-895-0190
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Authorized Official
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Title or Position | REIMBURSEMENT DIRECTOR
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Name | MS. SIHAM ANDRAOS
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Credential |
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Telephone | 301-560-6075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | HFD020005
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License Number State | DC
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