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General NPI Number Information
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NPI Number | 1053522060
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Entity Type | Organization
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Legal Business Name | MARY'S CENTER FOR MATERNAL AND CHILD CARE
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3912 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-5861
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Country | US
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Telephone | 202-420-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 ONTARIO RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009-2627
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Country | US
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Telephone | 202-420-3000
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | MONIQUE MARGARETA POWELL-DAVIS
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Credential |
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Telephone | 202-424-2655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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