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General NPI Number Information
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NPI Number | 1760758759
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Entity Type | Organization
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Legal Business Name | HOUSE OF PFROSPERITY EVERLASTING, INC.
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Dates
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Enumeration Date | 03/24/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 2918 MINNESOTA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20019-1127
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Country | US
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Telephone | 202-629-2964
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Fax | 202-629-4953
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Provider Business Mailing Address
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Address Line | 2918 MINNESOTA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20019-1127
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Country | US
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Telephone | 202-629-2964
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Fax | 202-629-4953
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CURTRINA HOSTON
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Credential |
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Telephone | 202-639-2964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC302546
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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