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General NPI Number Information
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NPI Number | 1619634607
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Entity Type | Organization
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Legal Business Name | A&E HEALTHCARE INC
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 3310 N ST SE STE B
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City | WASHINGTON
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State | DC
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Zip | 20019-2944
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Country | US
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Telephone | 240-243-9267
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Fax | 240-554-2290
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Provider Business Mailing Address
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Address Line | 3310 N ST SE STE B
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City | WASHINGTON
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State | DC
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Zip | 20019-2944
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLUWAKEMI OGUNSEYE
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Credential |
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Telephone | 301-254-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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