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General NPI Number Information
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NPI Number | 1093978280
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Entity Type | Individual
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Provider Name | ELLA IRENE ROBERTSON-STROTHER B.S.,PA-C,
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Gender | Female
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 1220 12TH ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-3722
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Country | US
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Telephone | 202-698-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 6196 OXON HILL RD 210
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City | OXON HILL
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State | MD
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Zip | 20745-3100
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Country | US
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Telephone | 202-277-8547
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA30023
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License Number State | DC
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