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General NPI Number Information
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NPI Number | 1578770160
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH SPECIALISTS OF MONTGOMERY COUNTY, LLC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 6301 EXECUTIVE BLVD
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City | ROCKVILLE
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State | MD
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Zip | 20852-3905
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Country | US
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Telephone | 301-770-4967
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Fax | 844-251-4625
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Provider Business Mailing Address
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Address Line | 6301 EXECUTIVE BLVD
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City | ROCKVILLE
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State | MD
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Zip | 20852-3905
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Country | US
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Telephone | 301-770-4967
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Fax | 301-770-3205
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | VICTORIA DODSON
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Credential |
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Telephone | 443-398-0189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0001760
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R126791
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State | MD
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