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General NPI Number Information
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NPI Number | 1447411806
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Entity Type | Organization
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Legal Business Name | AAA WARMCARE OF POTOMAC, INC
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 10301 GAINSBOROUGH RD
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City | POTOMAC
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State | MD
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Zip | 20854-4041
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Country | US
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Telephone | 301-983-6565
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Fax | 301-983-0584
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Provider Business Mailing Address
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Address Line | 10301 GAINSBOROUGH RD
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City | POTOMAC
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State | MD
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Zip | 20854-4041
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Country | US
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Telephone | 301-983-6565
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Fax | 301-983-0584
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. DEVI DATLA
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Credential |
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Telephone | 240-793-6052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 15AL080
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License Number State | MD
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