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General NPI Number Information
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NPI Number | 1487103123
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Entity Type | Individual
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Provider Name | CAROLE TCHAKOUNTE
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Gender | Female
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 901 MISSOURI AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-5113
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Country | US
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Telephone | 202-361-3203
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Fax |
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Provider Business Mailing Address
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Address Line | 2759 MARTIN LUTHER KING JR AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20032-2646
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Country | US
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Telephone | 202-563-8690
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA11973
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License Number State | DC
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