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NPI 1326905357

NPI 1326905357 : CN COLUMBIA HEIGHTS : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1326905357
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    Entity Type          |    Organization 
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    Legal Business Name  |    CN COLUMBIA HEIGHTS 
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Dates
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    Enumeration Date     |    01/09/2026
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    Last Update Date     |    01/09/2026
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Provider Practice Location Address
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    Address Line         |    3336 14TH ST NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20010-2302
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    Country              |    US
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    Telephone            |    202-476-7611
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    Fax                  |    
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Provider Business Mailing 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            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP 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        |    282NC2000X
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    Taxonomy Name        |    Children's Hospital
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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        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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