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General NPI Number Information
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NPI Number | 1629476619
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Entity Type | Individual
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Provider Name | CHARIS WILLIAMS CHES
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Gender | Female
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 2041 MARTIN LUTHER KING JR AVE SE SUITE LL2
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City | WASHINGTON
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State | DC
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Zip | 20020-7024
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Country | US
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Telephone | 202-450-5891
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Fax | 202-610-2699
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Provider Business Mailing Address
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Address Line | 8506 CEDAR CHASE DR
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City | CLINTON
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State | MD
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Zip | 20735-1985
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Country | US
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Telephone | 402-202-9746
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 23431
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1504580
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License Number State | MD
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