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General NPI Number Information
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NPI Number | 1356484851
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF HEALTH WAREHOUSE
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4 DC VILLAGE LANE SW
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City | WASHINGTON
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State | DC
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Zip | 20032-5205
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Country | US
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Telephone | 202-645-6217
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Fax | 202-645-6263
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Provider Business Mailing Address
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Address Line | 4 DC VILLAGE LANE SW
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City | WASHINGTON
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State | DC
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Zip | 20032-5205
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Country | US
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Telephone | 202-645-6217
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Fax | 202-645-6263
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Authorized Official
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Title or Position | DIRECTOR DC DEPARTMENT
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Name | DR. GREGG PANE
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Credential |
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Telephone | 202-442-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | DW0100023
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License Number State | DC
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