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General NPI Number Information
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NPI Number | 1659990695
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Entity Type | Organization
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Legal Business Name | IYA HOMES AND COMMUNITY SOLUTIONS, LLC
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 80 M ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-3544
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Country | US
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Telephone | 240-645-9583
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 HAMILTON ST APT B302
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City | HYATTSVILLE
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State | MD
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Zip | 20781-1868
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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 OWNER
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Name | CHEICK O DIAKITE
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Credential | COD
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Telephone | 240-645-9583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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