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General NPI Number Information
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NPI Number | 1508028556
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Entity Type | Organization
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Legal Business Name | BETHLEHEM HOUSE INC.
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 1401 LAWRENCE ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2912
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Country | US
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Telephone | 202-526-3222
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Fax | 202-635-2434
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Provider Business Mailing Address
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Address Line | 1401 LAWRENCE ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2912
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Country | US
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Telephone | 202-526-3222
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Fax | 202-635-2434
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DOLORES WILSON
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Credential |
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Telephone | 202-526-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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