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General NPI Number Information
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NPI Number | 1659243798
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Entity Type | Organization
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Legal Business Name | ADVANCED AND COMPREHENSIVE PRIMARY CARE
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1647 BENNING RD NE STE 200
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City | WASHINGTON
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State | DC
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Zip | 20002-4570
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Country | US
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Telephone | 202-437-9997
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Fax |
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Provider Business Mailing Address
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Address Line | 12406 BUCKLEY DR
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City | SILVER SPRING
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State | MD
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Zip | 20904-2017
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Country | US
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Telephone | 202-437-9997
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SALLY YOUNG
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Credential |
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Telephone | 240-437-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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