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General NPI Number Information
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NPI Number | 1942762570
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Entity Type | Organization
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Legal Business Name | CONFIDENT CARE MEDICAL LLC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 1331 H ST NW STE 200
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City | WASHINGTON
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State | DC
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Zip | 20005-4706
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Country | US
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Telephone | 404-287-7589
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 LYMAN PL NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3007
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Country | US
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Telephone | 404-287-7589
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | MARY ROCKEFELLER
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Credential |
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Telephone | 404-287-7589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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