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General NPI Number Information
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NPI Number | 1104025758
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Entity Type | Individual
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Provider Name | MEGAN BARTSCH WILLEMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 6862 ELM ST SUITE 230
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City | MC LEAN
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State | VA
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Zip | 22101-3897
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Country | US
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Telephone | 703-942-6101
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Fax | 703-663-9860
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Provider Business Mailing Address
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Address Line | 6862 ELM ST SUITE 230
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City | MC LEAN
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State | VA
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Zip | 22101-3897
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Country | US
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Telephone | 703-942-6101
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Fax | 703-663-9860
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 232117
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101246907
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101246907
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 232117
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License Number State | NY
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