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General NPI Number Information
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NPI Number | 1205003340
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Entity Type | Individual
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Provider Name | CHARLES CHRISTIAN BRIGGS MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1015 UNIVERSITY BLVD EAST SPANISH CATHOLIC CENTER MEDICAL CLINIC
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City | SILVER SPRING
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State | MD
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Zip | 20903
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Country | US
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Telephone | 301-434-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 543 11TH ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2831
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Country | US
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Telephone | 202-543-1383
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 67050
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License Number State | MD
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