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General NPI Number Information
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NPI Number | 1679192777
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Entity Type | Organization
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Legal Business Name | JENTE SAFE PLACE INC
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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 | 11720 BELTSVILLE DR STE 500A-1
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City | BELTSVILLE
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State | MD
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Zip | 20705-3166
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Country | US
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Telephone | 301-848-6442
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Fax |
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Provider Business Mailing Address
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Address Line | 11417 RED JADE CT
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-1584
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Country | US
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Telephone | 301-848-6442
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER WASHINGTON
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Credential |
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Telephone | 301-848-6442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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