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NPI 1124748025

NPI 1124748025 : WELL-KONNECT HEALTHCARE SERVICES AND RESEARCH CENTER LLC : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1124748025
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELL-KONNECT HEALTHCARE SERVICES AND RESEARCH CENTER LLC 
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Dates
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    Enumeration Date     |    08/31/2022
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    Last Update Date     |    12/19/2025
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Provider Practice Location Address
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    Address Line         |    3030 30TH ST SE APT 301 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20020-1657
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    Country              |    US
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    Telephone            |    240-620-1587
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3030 30TH ST SE APT 301 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20020-1657
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    Country              |    US
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    Telephone            |    240-620-1587
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. KAWANA JEFFER WILLIAMS 
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    Credential           |    NP, PH.D.
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    Telephone            |    202-600-7805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    163WC1500X
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    Taxonomy Name        |    Community Health Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251T00000X
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    Taxonomy Name        |    PACE Provider Organization
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    163WW0101X
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    Taxonomy Name        |    Ambulatory Women's Health Care Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    261QA0005X
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    Taxonomy Name        |    Ambulatory Family Planning Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    261QR1100X
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    Taxonomy Name        |    Research Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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