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General NPI Number Information
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NPI Number | 1558533364
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Entity Type | Organization
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Legal Business Name | EASTER SEALS SERVING DC/MD/ VA, INC.
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 7138 WINDSOR BLVD
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City | BALTIMORE
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State | MD
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Zip | 21244-2705
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Country | US
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Telephone | 410-277-0940
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Fax | 410-277-0943
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Provider Business Mailing Address
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Address Line | 1420 SPRING ST
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City | SILVER SPRING
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State | MD
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Zip | 20910-2701
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Country | US
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Telephone | 301-920-9703
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Fax | 301-920-9770
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | MRS. ELIZABETH BARNES
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Credential |
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Telephone | 301-920-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 21D0941126
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License Number State | MD
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