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General NPI Number Information
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NPI Number | 1902341316
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Entity Type | Individual
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Provider Name | DESMOND FUREH SR.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1110 ASPEN ST NW APT 101
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City | WASHINGTON
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State | DC
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Zip | 20012-2518
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Country | US
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Telephone | 202-823-9240
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Fax | 202-450-2125
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Provider Business Mailing Address
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Address Line | 1110 ASPEN STREET NW WASHINGTON DC 20012-2518 APT # 101
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City | WASHINGTON
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State | DC
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Zip | 20012-2518
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Country | US
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Telephone | 202-823-9240
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Fax | 202-450-2125
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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 | HHA12611
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License Number State | DC
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