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General NPI Number Information
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NPI Number | 1891800298
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Entity Type | Organization
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Legal Business Name | PURE HEART HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 211 N UNION ST SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2657
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Country | US
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Telephone | 703-310-7062
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Fax | 877-768-5149
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Provider Business Mailing Address
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Address Line | 211 N UNION ST SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2657
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Country | US
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Telephone | 703-310-7062
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Fax | 877-768-5149
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ROBERTA E OSEI WUSU
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Credential |
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Telephone | 703-310-7062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | MD
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