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General NPI Number Information
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NPI Number | 1679809818
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY SERVICES AGENCY
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 400 6TH ST SW MEDICAID CLAIM UNIT 4TH FLOOR
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City | WASHINGTON
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State | DC
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Zip | 20024-2753
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Country | US
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Telephone | 202-715-7803
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Fax | 202-727-5382
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Provider Business Mailing Address
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Address Line | 400 6TH STREET SW MEDICAID CLAIM UNIT 4TH FLOOR
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City | WASHINGTON
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State | DC
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Zip | 20024-2753
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Country | US
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Telephone | 202-715-7803
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Fax | 202-727-5382
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Authorized Official
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Title or Position | SUPV. MEDICAID CLAIM UNIT
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Name | MS. JANE H YOUNG
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Credential |
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Telephone | 202-715-7803
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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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