Richard Larry Dotson
General Practice Physician
1647 Benning Rd Ne #102
Washington
, District of Columbia 20002
Richard Larry Dotson
General Practice Physician
1647 Benning Rd Ne #102
Washington
, District of Columbia 20002
(202) 396-5023
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Richard Larry Dotson
- 1647 Benning Rd Ne #102
- Washington, DC
- Zip : 20002
- Fax : (202) 396-5023
- Phone : (202) 396-8200
Second Address
- Richard Larry Dotson
- 1647 Benning Rd Ne #102
- Washington, DC
- Zip : 20002
- Fax : (202) 396-5023
- Phone : (202) 396-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | MD 11766 | DC |
National Provider Identifier
| NPI | 1013019272 |
|---|---|
| Provider Name | Richard Larry Dotson |
| First Address | Washington, DC 20002 |
| Second Address | Washington, DC 20002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 14/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 023609300 | (05) | DC |
| C-88675 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.