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General NPI Number Information
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NPI Number | 1528315058
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Entity Type | Organization
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Legal Business Name | CITI HOMES CARE, INC
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 1420 N. ST. SUITE #102
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City | WASHINGTON
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State | DC
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Zip | 20005
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Country | US
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Telephone | 202-238-9638
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Fax | 202-238-9639
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Provider Business Mailing Address
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Address Line | 1420 N. ST. SUITE #102
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City | WASHINGTON
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State | DC
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Zip | 20005
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Country | US
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Telephone | 202-238-9638
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Fax | 202-238-9639
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. THERESA BOAS
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Credential |
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Telephone | 202-238-9638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NSA-0168
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License Number State | DC
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