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General NPI Number Information
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NPI Number | 1447128921
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Entity Type | Organization
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Legal Business Name | BREAD FOR THE CITY,INC.
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1525 7TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-3201
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Country | US
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Telephone | 202-386-7020
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Fax | 202-265-1970
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Provider Business Mailing Address
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Address Line | 1525 7TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-3201
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE
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Name | GEORGE AUGUSTA JONES
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Credential |
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Telephone | 202-386-7602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 152W00000X
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Taxonomy Name | Optometrist
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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