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General NPI Number Information
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NPI Number | 1841806239
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Entity Type | Individual
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Provider Name | MISS MORENIKE CARSON
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Gender | Female
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 1229 G ST SE APT 522
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City | WASHINGTON
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State | DC
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Zip | 20003-7017
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Country | US
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Telephone | 202-568-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 NEWTON PL APT 1
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City | MOUNT RAINIER
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State | MD
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Zip | 20712-2116
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Country | US
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Telephone | 703-994-9347
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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