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General NPI Number Information
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NPI Number | 1629993175
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Entity Type | Organization
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Legal Business Name | OSSARI LLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 43744 MCCOLLOUGH CT
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City | ASHBURN
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State | VA
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Zip | 20147-5818
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Country | US
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Telephone | 571-315-9388
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR STE A
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City | HENRICO
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State | VA
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Zip | 23294-4648
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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 | MANAGING MEMBER
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Name | KHADIJA FARAH HERSI
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Credential |
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Telephone | 571-315-9388
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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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