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General NPI Number Information
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NPI Number | 1972742484
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Entity Type | Organization
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Legal Business Name | DIDACE KABATSI MD PC
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Dates
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Enumeration Date | 02/08/2009
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Last Update Date | 03/01/2009
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Provider Practice Location Address
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Address Line | 818 18TH ST NW SUITE 620
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City | WASHINGTON
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State | DC
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Zip | 20006-3513
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Country | US
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Telephone | 202-822-9600
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Fax | 202-822-8099
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Provider Business Mailing Address
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Address Line | 818 18TH ST NW SUITE 620
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City | WASHINGTON
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State | DC
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Zip | 20006-3513
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Country | US
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Telephone | 202-822-9600
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Fax | 202-822-8099
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIDACE KABATSI
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Credential | M.D.
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Telephone | 202-822-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD9107
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License Number State | DC
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