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General NPI Number Information
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NPI Number | 1174682728
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Entity Type | Individual
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Provider Name | KIMBERLY COLDEN MASSEY MD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 2301 M ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1427
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Country | US
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Telephone | 202-419-6312
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6W ATTN THERESA BROOKS
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City | ROCKVILLE
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State | MD
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Zip | 20852-4908
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Country | US
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Telephone | 301-816-6660
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Fax | 301-816-6308
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD30567
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D52676
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License Number State | MD
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