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General NPI Number Information
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NPI Number | 1992675151
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Entity Type | Organization
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Legal Business Name | BREAST CARE FOR WASHINGTON
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1201 SYCAMORE DR SE STE 400
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City | WASHINGTON
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State | DC
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Zip | 20032-5956
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Country | US
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Telephone | 202-745-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 SYCAMORE DR SE STE 400
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City | WASHINGTON
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State | DC
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Zip | 20032-5956
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Country | US
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Telephone | 202-745-7000
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Fax |
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Authorized Official
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Title or Position | MEDICAL OFFICER
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Name | REGINA HAMPTON
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Credential |
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Telephone | 240-723-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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