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NPI 1710513254

NPI 1710513254 : OCCUPATIONAL HEALTH CENTERS OF WASHINGTON DC : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1710513254
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    Entity Type          |    Organization 
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    Legal Business Name  |    OCCUPATIONAL HEALTH CENTERS OF WASHINGTON DC 
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Dates
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    Enumeration Date     |    03/17/2020
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    Last Update Date     |    03/17/2020
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Provider Practice Location Address
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    Address Line         |    2237 33RD ST NE 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20018-1505
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    Country              |    US
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    Telephone            |    855-835-6337
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    Fax                  |    844-371-8990
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Provider Business Mailing Address
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    Address Line         |    5080 SPECTRUM DR STE 1200W 
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    City                 |    ADDISON
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    State                |    TX
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    Zip                  |    75001-4624
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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    |    VP
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    Name                 |     JOHN  ANDERSON 
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    Credential           |    DO
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    Telephone            |    972-364-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QX0100X
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    Taxonomy Name        |    Occupational Medicine Clinic/Center
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    License Number       |    
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    License Number State |    
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