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General NPI Number Information
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NPI Number | 1174999353
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Entity Type | Organization
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Legal Business Name | RE-ENTRY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 1629 K ST NW SUITE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 202-256-5113
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Fax |
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Provider Business Mailing Address
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Address Line | 1629 K ST NW SUITE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 202-256-5113
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CURTIS OBIKE
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Credential |
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Telephone | 202-256-9113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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