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General NPI Number Information
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NPI Number | 1073522066
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Entity Type | Individual
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Provider Name | DOUGLAS LYTLE MAYERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-4237
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Fax | 301-295-2992
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Provider Business Mailing Address
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Address Line | 9 OAK RIDGE DR
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City | NEWTOWN
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State | CT
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Zip | 06470-2458
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Country | US
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Telephone | 203-270-1551
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Fax | 203-798-4336
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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 | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 0101033418
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License Number State | VA
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