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General NPI Number Information
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NPI Number | 1861920035
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Entity Type | Organization
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Legal Business Name | PURNA CARE SERVICES
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 9711 WASHINGTONIAN BLVD # 505
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City | GAITHERSBURG
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State | MD
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Zip | 20878-7365
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Country | US
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Telephone | 240-390-6298
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Fax |
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Provider Business Mailing Address
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Address Line | 3540 CRAIN HWY STE 484
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City | BOWIE
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State | MD
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Zip | 20716-1303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENEEN FRAZIER
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Credential |
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Telephone | 240-388-1642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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