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General NPI Number Information
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NPI Number | 1780240671
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Entity Type | Organization
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Legal Business Name | CAPSTONE TREATMENT CENTER, INC
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 1133 E WEST HWY APT 204E
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City | SILVER SPRING
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State | MD
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Zip | 20910-4804
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Country | US
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Telephone | 301-264-5587
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7462
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City | SILVER SPRING
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State | MD
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Zip | 20907-7462
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Country | US
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Telephone | 301-264-5587
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JILL WELCH
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Credential |
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Telephone | 301-264-5587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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