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General NPI Number Information
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NPI Number | 1851642615
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Entity Type | Organization
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Legal Business Name | BRR HOME HEALTH CARE
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 225 HAWAII AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20011-4927
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Country | US
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Telephone | 202-500-2564
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Fax | 202-529-1121
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Provider Business Mailing Address
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Address Line | 225 HAWAII AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20011-4927
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Country | US
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Telephone | 202-500-2564
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Fax | 202-529-1121
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. RICARDO GRANT SR.
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Credential |
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Telephone | 202-500-2564
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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 |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State | DC
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