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General NPI Number Information
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NPI Number | 1437805728
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Entity Type | Organization
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Legal Business Name | T&T MEDICAL SERVICES INC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 4430 B ST SE
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City | WASHINGTON
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State | DC
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Zip | 20019-4358
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Country | US
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Telephone | 240-413-4507
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Fax |
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Provider Business Mailing Address
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Address Line | 4430 B ST SE # DC
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City | WASHINGTON
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State | DC
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Zip | 20019-4358
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TALIA CAVINESS
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Credential |
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Telephone | 240-413-4507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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