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General NPI Number Information
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NPI Number | 1215321195
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Entity Type | Organization
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Legal Business Name | OLGA AFONSKY
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 4801 WISCONSIN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20016-4629
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Country | US
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Telephone | 202-460-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 3627 CUMBERLAND ST NW
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City | WASHINGTON
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State | DC
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Zip | 20008-2924
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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 | LICENSED NUTRITIONIST
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Name | MRS. OLGA AFONSKY
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Credential | LN, CNS, MS
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Telephone | 202-460-7779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | NU1000000162
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License Number State | DC
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