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General NPI Number Information
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NPI Number | 1730036906
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Entity Type | Organization
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Legal Business Name | GTINDEPENDENCE
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 5661 3RD ST NE APT 331
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City | WASHINGTON
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State | DC
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Zip | 20011-2563
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Country | US
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Telephone | 202-735-8407
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Fax |
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Provider Business Mailing Address
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Address Line | 5661 3RD ST NE APT 331
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City | WASHINGTON
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State | DC
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Zip | 20011-2563
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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 | DPW
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Name | MISS LAKISHA BROWN
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Credential |
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Telephone | 202-735-8407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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