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General NPI Number Information
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NPI Number | 1952068876
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Entity Type | Organization
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Legal Business Name | T&D HEALTH SERVICES
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Dates
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Enumeration Date | 11/27/2021
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 16397 TOPSAIL LN
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3083
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Country | US
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Telephone | 240-486-2556
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 W MOSHER ST
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City | BALTIMORE
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State | MD
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Zip | 21216-4218
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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 | MANAGER
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Name | MR. CHRISTIAN DJOMGA
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Credential |
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Telephone | 240-486-2556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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