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General NPI Number Information
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NPI Number | 1720432172
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Entity Type | Individual
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Provider Name | CHARLES BESONG RN, DNP, MSN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 3341 BENNING RD NE
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City | WASHINGTON
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State | DC
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Zip | 20019-1502
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Country | US
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Telephone | 202-543-0387
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Fax |
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Provider Business Mailing Address
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Address Line | 3323 BEAVERWOOD LN
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City | SILVER SPRING
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State | MD
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Zip | 20906-3064
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Country | US
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Telephone | 240-491-2868
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R199032
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1025737
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License Number State | DC
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