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General NPI Number Information
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NPI Number | 1043316094
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Entity Type | Individual
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Provider Name | DAVID MARC BAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20905 PROFESSIONAL PLZ SUITE 220
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City | ASHBURN
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State | VA
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Zip | 20147-7783
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Country | US
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Telephone | 703-858-9841
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Fax | 703-858-9446
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Provider Business Mailing Address
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Address Line | 7101 SYCAMORE AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-4634
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Country | US
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Telephone | 301-412-8432
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Fax | 703-858-9446
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101036149
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0050424
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C89207565
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License Number State | DC
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