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General NPI Number Information
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NPI Number | 1194832261
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Entity Type | Organization
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Legal Business Name | JEWISH SOCIAL SERVICE AGENCY
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 6123 MONTROSE RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-4860
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Country | US
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Telephone | 301-881-3700
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Fax | 301-816-2628
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Provider Business Mailing Address
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Address Line | 6123 MONTROSE RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-4860
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Country | US
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Telephone | 301-881-3700
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Fax | 301-770-3242
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Authorized Official
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Title or Position | DIRECTOR, PATIENT ACCOUNTS
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Name | LYNN PONTON
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Credential |
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Telephone | 301-816-2616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | H1508
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | H1508
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | H1508
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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