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General NPI Number Information
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NPI Number | 1952079410
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Entity Type | Individual
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Provider Name | CLARISSE KINE CHI
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 3001 BLADENSBURG RD NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2235
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Country | US
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Telephone | 202-635-3577
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Fax |
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Provider Business Mailing Address
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Address Line | 10012 BIRDIE LN
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-6058
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Country | US
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Telephone | 240-593-1089
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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 | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | NP1052716
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1052716
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License Number State | DC
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