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General NPI Number Information
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NPI Number | 1558518803
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Entity Type | Organization
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Legal Business Name | WOMEN'S GLOBAL HEALTH OF N.V P.C.
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 1515 CHAIN BRIDGE RD SUITE 314
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City | MC LEAN
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State | VA
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Zip | 22101-4451
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Country | US
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Telephone | 703-356-7700
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Fax | 703-883-1126
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Provider Business Mailing Address
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Address Line | 1515 CHAIN BRIDGE RD SUITE 314
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City | MC LEAN
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State | VA
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Zip | 22101-4451
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Country | US
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Telephone | 703-356-7700
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Fax | 703-883-1126
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BITA MOTESHARREI
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Credential | M.D.
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Telephone | 703-356-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101232530
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License Number State | VA
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