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NPI 1205400058

NPI 1205400058 : FEDERAL CITY RECOVERY SERVICES : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1205400058
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    Entity Type          |    Organization 
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    Legal Business Name  |    FEDERAL CITY RECOVERY SERVICES 
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Dates
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    Enumeration Date     |    05/17/2021
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    200 ATLANTIC ST SE 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20032-3040
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    Country              |    US
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    Telephone            |    202-839-7548
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    Fax                  |    202-562-5602
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Provider Business Mailing Address
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    Address Line         |    PO BOX 54790 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20032-9390
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    Country              |    US
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    Telephone            |    202-839-7548
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    Fax                  |    202-562-5602
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. HENRY PRIMES PIERCE III
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    Credential           |    
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    Telephone            |    202-236-4362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation 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        |    3245S0500X
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    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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