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General NPI Number Information
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NPI Number | 1225182132
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Entity Type | Individual
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Provider Name | JEANNE MARIE CHEVILLET FNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 3020 14TH STREET NW UPPER CARDOZO HEALTH CENTER
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City | WASHINGTON
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State | DC
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Zip | 20009
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Country | US
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Telephone | 202-612-3136
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Fax |
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Provider Business Mailing Address
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Address Line | 4022 14TH ST NW #3
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City | WASHINGTON
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State | DC
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Zip | 20011-5544
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Country | US
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Telephone | 443-794-5918
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R166441
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1009495
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License Number State | DC
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