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General NPI Number Information
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NPI Number | 1588083794
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Entity Type | Organization
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Legal Business Name | ADVANTAGE AND PROTOCOL SERVICES, LLC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 2832 6TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-1303
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Country | US
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Telephone | 202-391-1093
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Fax |
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Provider Business Mailing Address
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Address Line | 2832 6TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-1303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | KINIESHA ABRAHAM
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Credential |
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Telephone | 202-391-1093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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