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General NPI Number Information
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NPI Number | 1053594622
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Entity Type | Organization
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Legal Business Name | LOUIS KOZLOFF, M.D. & HUGH TROUT, M.D.,P.A.
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 8218 WISCONSIN AVE SUITE 204
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City | BETHESDA
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State | MD
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Zip | 20814-3107
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Country | US
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Telephone | 301-652-1209
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Fax | 301-951-8425
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Provider Business Mailing Address
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Address Line | 8218 WISCONSIN AVE SUITE 204
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City | BETHESDA
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State | MD
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Zip | 20814-3107
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Country | US
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Telephone | 301-652-1209
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Fax | 301-951-8425
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BETSY FARMER
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Credential |
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Telephone | 301-652-1209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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