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General NPI Number Information
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NPI Number | 1144795675
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Entity Type | Organization
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Legal Business Name | WY CARSON COMPANY
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 1937 11TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4113
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Country | US
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Telephone | 502-239-8711
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Fax | 202-827-3456
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Provider Business Mailing Address
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Address Line | 1937 11TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4113
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Country | US
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Telephone | 502-239-8711
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Fax | 202-827-3456
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MS. WINIFRED Y. CARSON-SMITH
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Credential | ESQ.
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Telephone | 202-239-8711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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