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General NPI Number Information
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NPI Number | 1396097150
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Entity Type | Organization
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Legal Business Name | ADVANCE HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 1320 FORT STEVENS DR NW
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City | WASHINGTON
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State | DC
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Zip | 20011-5027
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Country | US
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Telephone | 202-746-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 24 KENNEDY ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-5225
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Country | US
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Telephone | 202-746-2555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. TIMOTHY O OLAWUNI
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Credential |
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Telephone | 301-445-3182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | NSA-0339
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License Number State | DC
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