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NPI 1801229075

NPI 1801229075 : PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC : MONTGOMERY VILLAGE, MD

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General NPI Number Information
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    NPI Number           |    1801229075
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC 
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Dates
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    Enumeration Date     |    08/12/2013
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    19650 CLUB HOUSE RD # 101 
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    City                 |    MONTGOMERY VILLAGE
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    State                |    MD
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    Zip                  |    20886-3003
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    Country              |    US
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    Telephone            |    202-347-8512
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1225 4TH ST NE 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20002-3431
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    Country              |    US
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    Telephone            |    23-478-5122
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF OPERATING OFFICER
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    Name                 |     TAKINA  WILSON 
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    Credential           |    
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    Telephone            |    410-591-4273
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QF0050X
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    Taxonomy Name        |    Non-Surgical Family Planning Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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 |    
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