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NPI Code Detail

MEDICARE: CHARLES WASHINGTON

MEDICARE: CHARLES WASHINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1225549694
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES WASHINGTON
Provider Business Mailing Address
First Line : 4917 WINTHROP ST
Second Line :
City : OXON HILL
State : MD
Zip : 20745-2667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 VERMONT AVE NW STE 1003
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-4927
Country : US
Telephone Number : 202-827-9004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2017
Last Update Date : 10/12/2017

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Directions to “ CHARLES WASHINGTON ” Practice Location

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