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General NPI Number Information
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NPI Number | 1568845600
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Entity Type | Organization
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Legal Business Name | GLOBAL RESOURCES & SUPPORT LLC
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 1915 RHODE ISLAND AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2441
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Country | US
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Telephone | 443-813-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 6475 NEW HAMPSHIRE AVE STE 750
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3294
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Country | US
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Telephone | 443-813-9800
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TONYA ALISON HEADLEY COPPIN
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Credential | MS.ED;MS.SP.ED
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Telephone | 301-585-3616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | DC
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