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General NPI Number Information
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NPI Number | 1053661801
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Entity Type | Organization
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Legal Business Name | CAREMERICA AT DC, LLC
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 4047 MINNESOTA AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-3541
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Country | US
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Telephone | 202-396-4500
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Fax | 202-396-4600
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Provider Business Mailing Address
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Address Line | 4047 MINNESOTA AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-3541
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Country | US
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Telephone | 202-396-4500
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Fax | 202-396-4600
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Authorized Official
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Title or Position | PRESIDENT
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Name | REDDY ANNAPPAREDDY
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Credential |
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Telephone | 443-616-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | DC
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