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General NPI Number Information
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NPI Number | 1962361188
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Entity Type | Organization
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Legal Business Name | SHALOM HEALTHCARE LLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 1730 RHODE ISLAND AVE NW STE 502
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City | WASHINGTON
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State | DC
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Zip | 20036-3117
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Country | US
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Telephone | 202-460-7577
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 485
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City | CHELTENHAM
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State | MD
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Zip | 20623-0485
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Country | US
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Telephone | 202-460-7577
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ALFRED AJISHE
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Credential |
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Telephone | 202-460-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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