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General NPI Number Information
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NPI Number | 1043458847
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Entity Type | Individual
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Provider Name | SUMMER R HERLIHY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 10810 CONNECTICUT AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-2138
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Country | US
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Telephone | 202-853-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 10810 CONNECTICUT AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-2138
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 048380
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D78509
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD042530
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 88146
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101248956
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License Number State | VA
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