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General NPI Number Information
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NPI Number | 1740948108
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Entity Type | Organization
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Legal Business Name | ACCESS COMMUNITY SUPPORT
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 16021 COMPRINT CIR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1319
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Country | US
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Telephone | 301-977-6000
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Fax | 301-977-6000
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Provider Business Mailing Address
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Address Line | 16021 COMPRINT CIR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1319
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Country | US
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Telephone | 240-486-7057
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Fax | 301-977-5200
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Authorized Official
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Title or Position | CEO/ ADMINISTRATOR
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Name | ABUBAKARR KAMARA
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Credential |
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Telephone | 240-486-7057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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