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General NPI Number Information
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NPI Number | 1144049982
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Entity Type | Organization
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Legal Business Name | CAPITAL WOMENS CARE LLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 504 E RIDGEVILLE BLVD STE 110
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City | MOUNT AIRY
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State | MD
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Zip | 21771-5942
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Country | US
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Telephone | 301-663-6171
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Fax | 301-663-6257
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Provider Business Mailing Address
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Address Line | PO BOX 81310
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City | CLEVELAND
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State | OH
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Zip | 44181-0310
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Country | US
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Telephone | 301-340-8339
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DAMON HOU
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Credential | MD
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Telephone | 301-340-8339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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