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General NPI Number Information
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NPI Number | 1376603514
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Entity Type | Organization
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Legal Business Name | U.S. DEPARTMENT OF STATE
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2401 E STREET NW M.MED.QI, SA-1
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City | WASHINGTON
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State | DC
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Zip | 20522-0102
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Country | US
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Telephone | 202-663-2453
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Fax | 202-663-3247
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Provider Business Mailing Address
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Address Line | 2401 E STREET NW M.MED.QI, SA-1
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City | WASHINGTON
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State | DC
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Zip | 20522-0102
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Country | US
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Telephone | 202-663-2453
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Fax | 202-663-3247
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Authorized Official
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Title or Position | DIRECTOR, QUALITY IMPROVEMENT
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Name | DR. ROBERT G. BURNEY
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Credential | MD
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Telephone | 202-663-2453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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