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General NPI Number Information
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NPI Number | 1821328279
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE SPLUTIONS FOR YOUTH
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 5104 SALIMA ST
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City | CLINTON
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State | MD
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Zip | 20735-3659
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Country | US
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Telephone | 240-244-5399
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 LENFANT SQ SE
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City | WASHINGTON
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State | DC
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Zip | 20020-6724
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Country | US
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Telephone | 202-584-1244
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Fax | 202-584-1243
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Authorized Official
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Title or Position | DIRECTOR OUT PATIENT
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Name | MRS. PAULETTE SCOTT
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Credential | LICSW
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Telephone | 202-584-1244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | PRC799
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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