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General NPI Number Information
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NPI Number | 1497221303
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Entity Type | Organization
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Legal Business Name | KAHAK VA, INC.
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 10560 MAIN ST STE 112
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City | FAIRFAX
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State | VA
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Zip | 22030-7177
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Country | US
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Telephone | 703-385-5800
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Fax | 703-385-5801
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Provider Business Mailing Address
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Address Line | 10560 MAIN ST STE 112
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City | FAIRFAX
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State | VA
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Zip | 22030-7177
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Country | US
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Telephone | 703-385-5800
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Fax | 703-385-5801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHEL KAHAK
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Credential |
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Telephone | 301-641-1514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 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 #5
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 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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Taxonomy #9
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #11
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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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