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NPI Code Detail

MEDICARE: WADE AND WADE INC.

MEDICARE: WADE AND WADE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyDC

General Provider Information

NPI Number : 1225235831
Entity Type Code : Organization
Provider Name (Legal Business Name) : WADE AND WADE INC.
Provider Business Mailing Address
First Line : 3005 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2265
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3005 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2265
Country : US
Telephone Number : 202-269-3506
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MRS. ZENOBIA WADE
Credential :
Telephone Number : 202-269-3506
Provider Enumeration Date : 06/27/2007
Last Update Date : 09/11/2007

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