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General NPI Number Information
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NPI Number | 1275860637
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 111 MICHIGAN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2916
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Country | US
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Telephone | 202-476-6706
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 745842
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City | ATLANTA
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State | GA
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Zip | 30374-5842
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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 | EXEC DIR-PAYOR FINANCIAL RELATIONS
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Name | PHILLICIA NELSON
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Credential |
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Telephone | 301-572-6281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | HFD01-0208
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License Number State | DC
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