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General NPI Number Information
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NPI Number | 1598396897
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Entity Type | Organization
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Legal Business Name | AKOMA MODALITIES TO BETTER BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 302-751-5170
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Fax | 571-335-8474
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Provider Business Mailing Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 302-751-5170
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Fax | 571-335-8474
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | LASHAWN GLADNEY
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Credential |
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Telephone | 202-321-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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