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General NPI Number Information
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NPI Number | 1285823542
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Entity Type | Organization
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Legal Business Name | CAPITOL HEALTH MANAGEMENT SERVICES, LLC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST NE SUITE 317
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City | WASHINGTON
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State | DC
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Zip | 20017-2107
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Country | US
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Telephone | 202-636-1131
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Fax | 202-636-1138
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Provider Business Mailing Address
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Address Line | 4708 BLAGDEN TERRENCE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-3720
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Country | US
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Telephone | 202-548-5106
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Fax | 202-548-5180
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. RENEE A MCCOY-COLLINS
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Credential | DDS
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Telephone | 202-548-5106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | DEN3652
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #7
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #8
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #9
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #10
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #11
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #12
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | DEN3652
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License Number State | DC
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Taxonomy #13
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | DEN3652
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License Number State | DC
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Taxonomy #14
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | DEN3652
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License Number State | DC
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Taxonomy #15
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DEN3652
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License Number State | DC
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