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General NPI Number Information
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NPI Number | 1780525477
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Entity Type | Individual
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Provider Name | MARIE WLADIMIR LOUIS CHARLES
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Gender | Male
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 77 P ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3350
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Country | US
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Telephone | 202-441-8458
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Fax |
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Provider Business Mailing Address
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Address Line | 40 UPPER ROCK CIR APT 425
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City | ROCKVILLE
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State | MD
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Zip | 20850-4487
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Country | US
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Telephone | 516-405-9199
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 748050-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | RN1052894
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN1052894
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License Number State | DC
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