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General NPI Number Information
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NPI Number | 1851781827
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Entity Type | Organization
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Legal Business Name | HOLY HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 6210 N CAPITOL ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1416
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Country | US
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Telephone | 202-722-0404
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Fax | 202-330-5605
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Provider Business Mailing Address
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Address Line | 6210 N CAPITOL ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1416
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Country | US
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Telephone | 202-722-0404
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Fax | 202-330-5605
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. JULIUS YERIMA BAKARI
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Credential | MD
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Telephone | 240-350-7378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 084515700
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 76686
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 084515700
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 084515700
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | GH356
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License Number State | DC
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