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General NPI Number Information
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NPI Number | 1013110626
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Entity Type | Individual
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Provider Name | MRS. MARCIA FLOWERS
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Gender | Female
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Dates
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Enumeration Date | 06/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6900 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20307-0003
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Country | US
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Telephone | 202-782-4740
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Fax |
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Provider Business Mailing Address
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Address Line | 12940 CLARKS CROSSING DR
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City | CLARKSBURG
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State | MD
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Zip | 20871-4365
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Country | US
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Telephone |
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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 | 286500000X
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Taxonomy Name | Military Hospital
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License Number | PHA3235
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License Number State | DC
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