Provider First Line Business Practice Location Address: 
700 2ND ST NE
    Provider Second Line Business Practice Location Address: 
KAISER PERMANENTE CAPITOL HILL CENTER
    Provider Business Practice Location Address City Name: 
WASHINGTON
    Provider Business Practice Location Address State Name: 
DC
    Provider Business Practice Location Address Postal Code: 
20002-8100
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
202-346-3700
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
06/14/2010