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General NPI Number Information
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NPI Number | 1003163684
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Entity Type | Individual
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Provider Name | MICHAEL B SHVARTS MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-877-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 10980 GRANTCHESTER WAY FL 5
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City | COLUMBIA
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State | MD
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Zip | 21044-6097
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Country | US
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Telephone | 202-451-6794
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD046727
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.122058
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0083651
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A155786
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101270800
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License Number State | VA
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