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General NPI Number Information
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NPI Number | 1144767039
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Entity Type | Organization
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Legal Business Name | DIGNITYCARESERVICES
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 615 SHERIDAN ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1242
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Country | US
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Telephone | 202-413-3374
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Fax |
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Provider Business Mailing Address
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Address Line | 615 SHERIDAN ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1242
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Country | US
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Telephone | 202-413-3374
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA MANGA
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Credential |
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Telephone | 202-413-3374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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