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General NPI Number Information
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NPI Number | 1033848635
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COUNTY MARYLAND GOVERNMENT
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 4910 MACON RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-2228
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Country | US
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Telephone | 240-740-4430
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Fax | 301-468-4532
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Provider Business Mailing Address
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Address Line | 401 HUNGERFORD DR # 6TH
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City | ROCKVILLE
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State | MD
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Zip | 20850-4154
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Country | US
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Telephone | 240-777-4520
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Fax |
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Authorized Official
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Title or Position | MANAGEMENT
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Name | DIANA AZUCENA CORTEZ
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Credential |
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Telephone | 240-672-6758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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