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General NPI Number Information
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NPI Number | 1174430292
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Entity Type | Organization
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Legal Business Name | GREATER WASHINGTON ANESTHESIA NETWORK PLLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 2120 L ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1527
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Country | US
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Telephone | 202-715-4600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3429
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3429
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Country | US
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Telephone | 469-420-5527
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JEFFREY BERGER
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Credential | MD
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Telephone | 301-917-7428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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