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General NPI Number Information
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NPI Number | 1699149138
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Entity Type | Organization
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Legal Business Name | DOWNTOWN CLUSTER'S GERIATRIC DAY CARE CENTER, INC.
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 926 11TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4408
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Country | US
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Telephone | 202-347-7527
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Fax | 202-347-6983
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Provider Business Mailing Address
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Address Line | 926 11TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4408
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Country | US
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Telephone | 202-347-7527
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Fax | 202-347-6983
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. THOMYE MOBLEY CAVE
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Credential |
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Telephone | 202-347-7527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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