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General NPI Number Information
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NPI Number | 1427517515
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Entity Type | Individual
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Provider Name | ALLEN NJI HHA
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Gender | Male
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 6856 EASTERN AVE NW STE 320A
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City | WASHINGTON
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State | DC
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Zip | 20012-2112
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Country | US
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Telephone | 202-541-9844
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Fax | 202-541-9845
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Provider Business Mailing Address
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Address Line | 7829 RIVERDALE RD APT T2
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-4014
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Country | US
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Telephone | 240-758-5760
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA14362
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License Number State | DC
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