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General NPI Number Information
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NPI Number | 1912179300
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Entity Type | Organization
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Legal Business Name | EASTER SEALS SERVING DC/MD/ VA, INC.
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 701 E 1ST ST
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6405
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Country | US
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Telephone | 301-745-3828
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Fax | 301-576-5317
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Provider Business Mailing Address
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Address Line | 1420 SPRING ST
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City | SILVER SPRING
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State | MD
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Zip | 20910-2701
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Country | US
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Telephone | 301-920-9747
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Fax | 301-576-5317
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | ELIZABETH BARNES
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Credential |
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Telephone | 301-920-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 8509
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License Number State | MD
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