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General NPI Number Information
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NPI Number | 1295969939
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 05/10/2009
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Last Update Date | 05/10/2009
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Provider Practice Location Address
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Address Line | 4427 7TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2208
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Country | US
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Telephone | 202-529-3309
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Fax | 202-379-1747
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Provider Business Mailing Address
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Address Line | 4427 7TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2208
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Country | US
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Telephone | 202-529-3309
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Fax | 202-379-1747
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES ODIMEGWU
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Credential |
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Telephone | 202-529-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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