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General NPI Number Information
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NPI Number | 1053216804
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Entity Type | Organization
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Legal Business Name | WHOLLY MEDICAL CARE CENTER PLLC
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 2021 K ST NW STE 508
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 202-833-3003
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Fax | 202-835-9040
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Provider Business Mailing Address
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Address Line | 2021 K ST NW STE 508
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 301-547-5821
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | EVANGELINE OBI
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Credential | MD
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Telephone | 301-547-5821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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