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General NPI Number Information
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NPI Number | 1205826450
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Entity Type | Organization
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Legal Business Name | DUPONT III PC
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW SUITE 418
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-882-2500
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Fax | 202-726-8076
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Provider Business Mailing Address
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Address Line | 106 IRVING ST NW SUITE 418
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-882-2500
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Fax | 202-726-8076
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAY ALAN OCUIN
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Credential | MD
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Telephone | 202-882-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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