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General NPI Number Information
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NPI Number | 1891056701
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Entity Type | Organization
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Legal Business Name | NU DIMENSIONS, LLC
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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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 | 301-523-6233
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Fax | 301-576-3964
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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 | 301-523-6233
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Fax | 301-576-3964
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Authorized Official
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Title or Position | CEO
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Name | MR. MARTIN CHEH TAMUKONG
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Credential | RN
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Telephone | 301-523-6233
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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 | NSA-0182
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License Number State | DC
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