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General NPI Number Information
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NPI Number | 1669549192
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Entity Type | Organization
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Legal Business Name | ANDROMEDA TRANSCULTURAL HEALTH
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1400 DECATUR ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-4343
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Country | US
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Telephone | 202-291-4707
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Fax | 202-723-4560
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Provider Business Mailing Address
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Address Line | 1400 DECATUR ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-4343
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Country | US
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Telephone | 202-291-4707
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Fax | 202-723-4560
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ALVARO GUZMAN
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Credential | M.D.
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Telephone | 202-291-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI100000775
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0069798
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R185465
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License Number State | DC
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD036433
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License Number State | DC
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