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General NPI Number Information
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NPI Number | 1922878248
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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 | 01/08/2024
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3027 JAVIER ROAD
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City | FAIRFAX
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State | VA
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Zip | 22031
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Country | US
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Telephone | 202-347-8512
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Fax | 202-290-2744
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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 | 202-347-8512
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Fax | 202-290-2744
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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 | 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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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 | 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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