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General NPI Number Information
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NPI Number | 1891882098
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Entity Type | Organization
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Legal Business Name | CAPITOL CARE MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 1328 SOUTHERN AVE SE SUITE 312
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City | WASHINGTON
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State | DC
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Zip | 20032-4689
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Country | US
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Telephone | 202-563-2844
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Fax |
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Provider Business Mailing Address
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Address Line | 2113 PARKSIDE DR
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City | BOWIE
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State | MD
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Zip | 20721-4227
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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 | OWNER
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Name | JULIAN CRAIG
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Credential | MD
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Telephone | 202-563-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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