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General NPI Number Information
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NPI Number | 1033390695
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW # 2B28
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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 | 301-408-1540
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Fax | 301-408-1455
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Provider Business Mailing Address
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Address Line | 110 IRVING ST NW # 2B28
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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 | 301-408-1540
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Fax | 301-408-1455
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. JOHN K REGO
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Credential |
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Telephone | 301-408-1540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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