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General NPI Number Information
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NPI Number | 1922478064
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Entity Type | Organization
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Legal Business Name | CAPITOL HILL COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 201 8TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-6153
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Country | US
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Telephone | 202-546-7696
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Fax | 202-546-8050
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Provider Business Mailing Address
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Address Line | 201 8TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-6153
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Country | US
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Telephone | 202-546-7696
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Fax | 202-546-8050
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MISS ALLISON A VAN-COOTEN
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Credential | COO
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Telephone | 202-546-7696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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