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General NPI Number Information
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NPI Number | 1083190516
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Entity Type | Organization
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Legal Business Name | MD PACS 2 PC
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 106 BOW ST
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City | ELKTON
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State | MD
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Zip | 21921-5544
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Country | US
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Telephone | 954-584-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37919-4052
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Country | US
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Telephone | 865-693-1000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID ISTVAN
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Credential | MD
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Telephone | 865-693-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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