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General NPI Number Information
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NPI Number | 1457569931
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Entity Type | Organization
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Legal Business Name | GEORGETOWN UNIVERSITY
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 37TH AND O STS NW 1 DARNALL HALL
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City | WASHINGTON
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State | DC
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Zip | 20057-1105
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Country | US
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Telephone | 202-687-6985
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Fax | 202-687-6158
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Provider Business Mailing Address
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Address Line | 37TH AND O STS NW 1 DARNALL HALL BOX 571105
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City | WASHINGTON
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State | DC
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Zip | 20057-1105
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Country | US
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Telephone | 202-687-6985
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Fax | 202-687-6158
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PHILIP W. MEILMAN
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Credential | PH.D.
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Telephone | 202-687-6985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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