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General NPI Number Information
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NPI Number | 1861151540
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Entity Type | Individual
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Provider Name | ROSE H NASSUNA
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Gender | Female
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 2039 37TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20007-2207
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Country | US
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Telephone | 917-400-0833
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Fax |
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Provider Business Mailing Address
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Address Line | 3024 BEL PRE RD APT 102
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City | SILVER SPRING
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State | MD
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Zip | 20906-2471
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Country | US
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Telephone | 202-763-1999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | A00183198
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License Number State | MD
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