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General NPI Number Information
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NPI Number | 1619787454
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL SERVICES OF HOLY CROSS
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 15245 SHADY GROVE RD STE 130
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City | ROCKVILLE
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State | MD
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Zip | 20850-6240
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Country | US
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Telephone | 301-527-1650
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 531863
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City | ATLANTA
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State | GA
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Zip | 30353-1863
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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 | VP AND CHIEF FINANCIAL OFFICER
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Name | JULIE KEESE
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Credential |
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Telephone | 301-754-7201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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