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General NPI Number Information
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NPI Number | 1942177514
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Entity Type | Organization
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Legal Business Name | GLORIOUS LIFE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 301-852-4876
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Fax |
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Provider Business Mailing Address
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Address Line | 15035 COURTLAND PL
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City | LAUREL
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State | MD
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Zip | 20707-5611
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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 | CEO
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Name | BORIS NUVI LANG
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Credential |
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Telephone | 301-825-4876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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