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General NPI Number Information
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NPI Number | 1992378764
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Entity Type | Individual
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Provider Name | WINDY TUBBS
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Gender | Female
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 1519 V ST SE APT 2
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City | WASHINGTON
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State | DC
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Zip | 20020-4824
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Country | US
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Telephone | 202-248-1075
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Fax |
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Provider Business Mailing Address
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Address Line | 140 IVANHOE ST SW APT 201
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City | WASHINGTON
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State | DC
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Zip | 20032-1061
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Country | US
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Telephone | 703-399-5810
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Fax |
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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