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General NPI Number Information
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NPI Number | 1558640631
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Entity Type | Organization
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Legal Business Name | HEALTHY OPPORTUNITIES TO MAINTAIN ONE'S EQUILIBRIUM, LLC
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 1508 MONTANA AVENUE
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City | WASHINGTON
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State | DC
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Zip | 20018-2006
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Country | US
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Telephone | 202-832-5386
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 MONTANA AVENUE
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City | WASHINGTON
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State | DC
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Zip | 20018-2006
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Country | US
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Telephone | 202-832-5386
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Fax |
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Authorized Official
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Title or Position | CHIEF NURSING ADMINISTRATOR
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Name | MRS. PAULETTE LEONIE STANCIL
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Credential | RN
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Telephone | 202-832-5386
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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 | RN44278
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License Number State | DC
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