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General NPI Number Information
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NPI Number | 1245193952
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Entity Type | Organization
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Legal Business Name | PRESTIGE HEALTHCARE RESOURCES INC.
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1525 MARION BARRY AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20020-5634
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Country | US
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Telephone | 202-796-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 MARION BARRY AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20020-5634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MUSTAFA MORRIS
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Credential |
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Telephone | 404-754-6915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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