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General NPI Number Information
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NPI Number | 1013073964
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Entity Type | Organization
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Legal Business Name | THE NEUROLOGY CLINIC OF WASHINGTON
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18111 PRINCE PHILIP DR STE 201
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-260-7600
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Fax | 301-260-7919
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Provider Business Mailing Address
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Address Line | 18111 PRINCE PHILIP DR STE 201
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-260-7600
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Fax | 301-260-7919
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BARBARA J PARTRIDGE
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Credential |
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Telephone | 240-395-0902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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