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General NPI Number Information
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NPI Number | 1265931125
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Entity Type | Individual
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Provider Name | CECILIAMARIE E WELLINGTON
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 901 1ST ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-1403
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Country | US
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Telephone | 202-282-3011
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Fax | 202-282-2057
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Provider Business Mailing Address
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Address Line | 6648 24TH PL
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City | HYATTSVILLE
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State | MD
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Zip | 20782-1712
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Country | US
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Telephone | 240-619-9387
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA0000811050
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License Number State | DC
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