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General NPI Number Information
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NPI Number | 1497724058
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Entity Type | Organization
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Legal Business Name | FOR WOMEN OB-GYN ASSOCIATES
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 21135 WHITFIELD PL SUITE 101
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City | STERLING
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State | VA
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Zip | 20165-7279
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Country | US
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Telephone | 703-430-7779
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Fax | 703-262-0906
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Provider Business Mailing Address
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Address Line | 11490 COMMERCE PARK DR # 525
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City | RESTON
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State | VA
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Zip | 20191-1557
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Country | US
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Telephone | 703-488-6933
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FELICIA L DONALD
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Credential | M.D.
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Telephone | 703-430-7779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101040782
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License Number State | VA
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