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General NPI Number Information
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NPI Number | 1982488508
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Entity Type | Organization
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Legal Business Name | PRISTINE HEALTHCARE
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1507 ERIE ST SE
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City | WASHINGTON
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State | DC
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Zip | 20020-3509
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Country | US
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Telephone | 678-670-6697
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 S CAPITOL ST SW APT 1011
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City | WASHINGTON
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State | DC
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Zip | 20003-5236
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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 | CEO
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Name | SANA CHUNARA
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Credential | NP
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Telephone | 678-670-6697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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