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General NPI Number Information
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NPI Number | 1821359621
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Entity Type | Organization
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Legal Business Name | DYNAMIC HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 1629 K ST NW 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 202-600-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 1629 K ST NW 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 202-699-7771
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROSELINE NGOZI OKAI
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Credential | BS
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Telephone | 240-723-1305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 25
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License Number State | DC
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