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General NPI Number Information
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NPI Number | 1679588156
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Entity Type | Organization
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Legal Business Name | EASTER SEALS DC MD VA
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2800 13TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009
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Country | US
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Telephone | 202-387-4434
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Fax | 202-467-7379
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Provider Business Mailing Address
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Address Line | 1420 SPRING ST
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City | SILVER SPRING
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State | MD
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Zip | 20910-2701
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Country | US
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Telephone | 301-920-9747
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Fax | 301-576-5317
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Authorized Official
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Title or Position | DIRECTOR OF EARLY INTERVENTION
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Name | MR. JILL B CHIMKA
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Credential |
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Telephone | 202-276-4937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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