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General NPI Number Information
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NPI Number | 1043528243
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Entity Type | Organization
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Legal Business Name | WASHINGTON MUSCULOSKELETAL TUMOR CENTER
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 7830 OLD GEORGETOWN RD SUITE C 15
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City | BETHESDA
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State | MD
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Zip | 20814-2432
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Country | US
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Telephone | 301-656-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 7830 OLD GEORGETOWN RD SUITE C 15
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City | BETHESDA
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State | MD
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Zip | 20814-2432
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Country | US
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Telephone | 301-656-0220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTIN M MALAWER
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Credential | MD
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Telephone | 301-656-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD11176
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License Number State | WA
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