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General NPI Number Information
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NPI Number | 1336787100
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Entity Type | Individual
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Provider Name | KAWANA JEFFER WILLIAMS APRN, PH.D., NP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 12/03/2024
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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 | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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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 |
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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 | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | RN1039613
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | RN1039613
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 0001264103
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 0001264103
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | RN1039613
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | RN1039613
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License Number State | DC
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Taxonomy #7
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 0001264103
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 0001264103
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN1039613
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License Number State | MD
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Taxonomy #10
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 0001264103
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License Number State | VA
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Taxonomy #11
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 0001264103
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License Number State | MD
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Taxonomy #12
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN1039613
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License Number State | DC
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Taxonomy #13
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | 0001264103
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License Number State | DC
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Taxonomy #14
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | RN1039613
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License Number State | DC
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Taxonomy #15
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | RN1039613
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License Number State | DC
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