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General NPI Number Information
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NPI Number | 1396097408
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH HEALTHCARE LLC
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 6210 N CAPITOL ST NW NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1416
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Country | US
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Telephone | 240-593-1547
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Fax | 240-294-7966
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Provider Business Mailing Address
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Address Line | 6210 N CAPITOL ST NW NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1416
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Country | US
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Telephone | 240-593-1547
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Fax | 240-294-7966
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | CHANTAL BIH ADEMBUH
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Credential |
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Telephone | 240-593-1547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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