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General NPI Number Information
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NPI Number | 1780196915
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Entity Type | Organization
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Legal Business Name | EMPOWERING HOME SERVICES LLC
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 66 S ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-1128
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Country | US
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Telephone | 202-680-9551
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Fax | 240-474-5944
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Provider Business Mailing Address
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Address Line | 114 EMORY WOODS CT
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City | GAITHERSBURG
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State | MD
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Zip | 20877-3540
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Country | US
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Telephone | 202-680-9951
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Fax | 240-474-5944
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Authorized Official
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Title or Position | CEO
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Name | MR. NELSON PEAY
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Credential |
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Telephone | 202-680-9951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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