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General NPI Number Information
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NPI Number | 1962154286
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Entity Type | Organization
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Legal Business Name | COVID TEST DMV LLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 1015 15TH ST NW STE 600
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City | WASHINGTON
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State | DC
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Zip | 20005-2605
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Country | US
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Telephone | 202-417-2683
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 15TH ST NW STE 600
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City | WASHINGTON
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State | DC
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Zip | 20005-2605
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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 | CMO
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Name | DR. DON COLEMAN
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Credential | MD
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Telephone | 202-528-0026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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