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General NPI Number Information
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NPI Number | 1679618656
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Entity Type | Organization
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Legal Business Name | CAPITOL PSYCHIATRIC GROUP
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 2301 E ST NW APT A1011
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City | WASHINGTON
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State | DC
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Zip | 20037-2839
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Country | US
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Telephone | 202-293-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 7361 CALHOUN PL SUITE 220
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City | ROCKVILLE
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State | MD
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Zip | 20855-2765
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Country | US
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Telephone | 301-565-2250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIOT SOREL
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Credential | MD
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Telephone | 202-293-2112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 10241
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License Number State | DC
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