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General NPI Number Information
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NPI Number | 1124193479
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Entity Type | Organization
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Legal Business Name | WASHINGTON NEPHROLOGY ASSOCIATES, L.L.P.
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 1201 SEVEN LOCKS RD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20854-2960
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Country | US
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Telephone | 301-907-4646
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Fax | 301-907-7796
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Provider Business Mailing Address
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Address Line | 1201 SEVEN LOCKS RD STE 200A
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City | ROCKVILLE
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State | MD
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Zip | 20854-2931
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Country | US
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Telephone | 301-907-3939
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Fax | 301-656-3943
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Authorized Official
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Title or Position | CREDENTIALS COORDINATOR
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Name | LINDA LANGFORD
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Credential |
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Telephone | 301-907-3939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | D0024706
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License Number State | MD
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