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General NPI Number Information
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NPI Number | 1790404051
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Entity Type | Organization
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Legal Business Name | RELIABLE LIVING LLC
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 9650 HAGEL CIR
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City | LORTON
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State | VA
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Zip | 22079-4317
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Country | US
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Telephone | 202-359-3221
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Fax |
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Provider Business Mailing Address
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Address Line | 9650 HAGEL CIR
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City | LORTON
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State | VA
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Zip | 22079-4317
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Country | US
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Telephone | 202-359-3221
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTIAN SOMUAH
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Credential |
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Telephone | 202-359-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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