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General NPI Number Information
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NPI Number | 1548858350
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Entity Type | Individual
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Provider Name | TONYA PATRICE CARR CACI, NCACI
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 1901 D ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2534
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Country | US
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Telephone | 202-698-4932
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Fax |
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Provider Business Mailing Address
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Address Line | 434 37TH PL SE APT 202
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City | WASHINGTON
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State | DC
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Zip | 20019-3231
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Country | US
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Telephone | 954-873-7076
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CACI1037
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License Number State | DC
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