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General NPI Number Information
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NPI Number | 1316886054
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Entity Type | Organization
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Legal Business Name | MAPHANTOM, INC.
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 842 48TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20019-3668
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Country | US
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Telephone | 202-464-4533
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Fax | 202-529-0565
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Provider Business Mailing Address
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Address Line | 3058 VISTA ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-4010
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Country | US
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Telephone | 202-526-1152
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Fax | 202-529-0565
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEMPSEY C HINTON III
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Credential |
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Telephone | 202-997-1416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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