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General NPI Number Information
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NPI Number | 1225645591
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Entity Type | Organization
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Legal Business Name | RS DAVIS HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 3200 MARTIN LUTHER KING JR AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20032-1538
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Country | US
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Telephone | 202-556-4921
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Fax | 202-217-2152
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Provider Business Mailing Address
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Address Line | 1611 U ST SE
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City | WASHINGTON
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State | DC
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Zip | 20020-4830
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Country | US
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Telephone | 202-556-4921
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Fax | 202-217-2152
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SONIJAH DAVIS
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Credential | LCSW
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Telephone | 202-288-9206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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