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General NPI Number Information
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NPI Number | 1548577505
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Entity Type | Organization
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Legal Business Name | MY PARENT'S HOMES,LLC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 1235 IRVING STREET,NE
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City | WASHINGTON
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State | DC
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Zip | 20017
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Country | US
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Telephone | 202-526-4786
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 IRVING STREET,NE
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City | WASHINGTON
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State | DC
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Zip | 20017
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Country | US
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Telephone | 202-526-4786
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MICHELLE RUTH CASH
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Credential |
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Telephone | 202-526-4786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | ALR-0024
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License Number State | DC
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