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General NPI Number Information
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NPI Number | 1952555617
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Entity Type | Organization
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Legal Business Name | EASTER SEALS WALTER REED ADULT DAY CENTER
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 2909 16TH ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-4974
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Country | US
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Telephone | 703-228-0964
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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 | 301-588-8700
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Fax | 301-576-5317
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Authorized Official
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Title or Position | CFO
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Name | MR. FRED L WILSON
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Credential |
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Telephone | 301-588-8700
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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 |
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License Number State |
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