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NPI 1952826265

NPI 1952826265 : WASHINGTON REGIONAL TRANSPLANT COMMUNITY : FALLS CHURCH, VA

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General NPI Number Information
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    NPI Number           |    1952826265
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    Entity Type          |    Organization 
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    Legal Business Name  |    WASHINGTON REGIONAL TRANSPLANT COMMUNITY 
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Dates
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    Enumeration Date     |    08/08/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    3190 FAIRVIEW PARK DR STE 700 
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    City                 |    FALLS CHURCH
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    State                |    VA
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    Zip                  |    22042-4557
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    Country              |    US
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    Telephone            |    703-641-0100
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    Fax                  |    703-658-0711
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Provider Business Mailing Address
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    Address Line         |    3190 FAIRVIEW PARK DR STE 700 
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    City                 |    FALLS CHURCH
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    State                |    VA
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    Zip                  |    22042-4557
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    Country              |    US
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    Telephone            |    703-641-0100
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    Fax                  |    703-658-0711
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     ANN LYNN SPATES 
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    Credential           |    
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    Telephone            |    703-641-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335U00000X
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    Taxonomy Name        |    Organ Procurement Organization
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    License Number       |    
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    License Number State |    
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