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General NPI Number Information
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NPI Number | 1982047353
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Entity Type | Organization
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Legal Business Name | COURTESY HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 8809 SUDLEY RD STE 223
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City | MANASSAS
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State | VA
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Zip | 20110-4749
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Country | US
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Telephone | 571-428-2398
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Fax | 571-428-2399
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Provider Business Mailing Address
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Address Line | 8809 SUDLEY RD STE 223
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City | MANASSAS
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State | VA
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Zip | 20110-4749
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Country | US
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Telephone | 571-428-2398
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Fax | 571-428-2399
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | SYLVIE BALEKA MBAMBA
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Credential |
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Telephone | 571-428-2398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health
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License Number |
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License Number State |
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