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General NPI Number Information
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NPI Number | 1013978261
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Entity Type | Individual
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Provider Name | ESTELLE COOKE-SAMPSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 2041 GEORGIA AVE NW STE 6101
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City | WASHINGTON
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State | DC
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Zip | 20060-5441
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Country | US
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Telephone | 202-865-6679
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Fax | 202-865-3138
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Provider Business Mailing Address
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Address Line | 2041 GEORGIA AVE NW STE 6101
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City | WASHINGTON
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State | DC
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Zip | 20060-0001
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD11829
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0032331
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License Number State | MD
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