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General NPI Number Information
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NPI Number | 1376007005
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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 | 01/28/2019
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 111 MICHIGAN AVENUE, NW
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City | WASHINGTON
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State | DC
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Zip | 20010
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Country | US
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Telephone | 202-476-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MICHIGAN AVENUE, NW
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City | WASHINGTON
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State | DC
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Zip | 20010
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Country | US
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Telephone | 202-476-5000
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Fax |
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Authorized Official
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Title or Position | EXEC DIRECTOR - PAYOR FINANCIAL REL
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Name | MRS. 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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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