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General NPI Number Information
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NPI Number | 1477916641
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Entity Type | Organization
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Legal Business Name | WPA, INC
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 8669 CHATSFIELD WAY
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City | LANDOVER
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State | MD
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Zip | 20785-5916
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Country | US
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Telephone | 202-215-6292
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1223
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City | HYATTSVILLE
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State | MD
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Zip | 20785-0223
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Country | US
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Telephone | 202-215-6292
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. TONYA RENEE WADE
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Credential | RN, MSN
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Telephone | 202-215-6292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | R169568
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License Number State | MD
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