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NPI 1639664220

NPI 1639664220 : JORDANN-MISHAEL DUNCAN MD : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1639664220
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    Entity Type          |    Individual 
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    Provider Name        |    JORDANN-MISHAEL DUNCAN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/26/2018
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    Last Update Date     |    08/08/2024
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Provider Practice Location Address
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    Address Line         |    2041 GEORGIA AVE NW STE 1700C 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20060-5452
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    Country              |    US
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    Telephone            |    202-865-4164
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    Fax                  |    202-865-7407
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Provider Business Mailing Address
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    Address Line         |    2041 GEORGIA AVE NW # 1700C 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20060-0001
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    Country              |    US
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    Telephone            |    202-865-4164
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    Fax                  |    202-865-7407
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    MT216566
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    65895
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    MD600001639
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    License Number State |    DC
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