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General NPI Number Information
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NPI Number | 1013704113
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Entity Type | Organization
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Legal Business Name | DC HEALTH AND WELLNESS CENTER
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 77 P STREET NE DC HEALTH AND WELLNESS
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City | WASHINGTON
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State | DC
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Zip | 20002
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Country | US
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Telephone | 202-557-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 77 P STREET NE DC HEALTH AND WELLNESS
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City | WASHINGTON
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State | DC
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Zip | 20002
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Country | US
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Telephone | 202-557-0577
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Fax |
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Authorized Official
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Title or Position | STD & TB CONTROL DIVISION CHIEF
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Name | JASON BEVERLEY
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Credential | MS, RN, FNP-BC
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Telephone | 202-841-0871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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