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General NPI Number Information
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NPI Number | 1437484607
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Entity Type | Organization
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Legal Business Name | SHO HEALTH SERVICES INC.
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 801 WAYNE AVE SUITE G100
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City | SILVER SPRING
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State | MD
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Zip | 20910-4450
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Country | US
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Telephone | 301-328-0693
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Fax | 301-328-0713
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Provider Business Mailing Address
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Address Line | 801 WAYNE AVE SUITE G100
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City | SILVER SPRING
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State | MD
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Zip | 20910-4450
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Country | US
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Telephone | 301-328-0693
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Fax | 301-328-0713
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MEBEA TESFAYE
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Credential |
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Telephone | 301-328-0693
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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 |
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License Number State |
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