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General NPI Number Information
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NPI Number | 1013276591
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Entity Type | Organization
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Legal Business Name | MARYLAND PULMONARY ASSOCIATES LLC
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 10307 FLEMING AVE
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City | BETHESDA
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State | MD
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Zip | 20814-2162
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Country | US
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Telephone | 301-552-5693
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Fax |
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Provider Business Mailing Address
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Address Line | 10307 FLEMING AVE
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City | BETHESDA
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State | MD
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Zip | 20814-2162
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Country | US
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Telephone | 267-257-5416
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | RICHARD LEE
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Credential | MD
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Telephone | 267-257-5416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D0073785
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License Number State | MD
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