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General NPI Number Information
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NPI Number | 1396302501
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Entity Type | Organization
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Legal Business Name | ERGO HOME HEALTH
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1250 CONNECTICUT AVE NW STE 700
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City | WASHINGTON
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State | DC
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Zip | 20036-2657
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Country | US
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Telephone | 202-261-6598
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Fax | 202-315-2545
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Provider Business Mailing Address
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Address Line | 1250 CONNECTICUT AVE NW STE 700
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City | WASHINGTON
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State | DC
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Zip | 20036-2657
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Country | US
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Telephone | 202-261-6598
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Fax | 202-315-2545
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Authorized Official
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Title or Position | COO
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Name | COURTLAND WYATT
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Credential |
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Telephone | 301-567-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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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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