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General NPI Number Information
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NPI Number | 1588922835
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Entity Type | Organization
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Legal Business Name | T&N RELIABLE NURSING
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 3500 18TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2738
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Country | US
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Telephone | 202-529-6510
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 18TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2738
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Country | US
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Telephone | 202-529-6510
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Fax |
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Authorized Official
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Title or Position | HHA
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Name | RACKIEL RAMON RIOS
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Credential |
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Telephone | 202-529-6510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 580065382
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License Number State | NY
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