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General NPI Number Information
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NPI Number | 1336698216
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN WASHINGTON
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 1112 16TH ST NW SUITE 720
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City | WASHINGTON
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State | DC
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Zip | 20036-4823
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Country | US
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Telephone | 202-232-6700
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Fax | 202-232-9873
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Provider Business Mailing Address
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Address Line | 1112 16TH ST NW SUITE 720
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City | WASHINGTON
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State | DC
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Zip | 20036-4823
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Country | US
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Telephone | 202-232-6700
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Fax | 202-232-9873
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER/PRESIDENT
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Name | MRS. ANGIE REESE HAWKINS
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Credential |
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Telephone | 202-232-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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