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General NPI Number Information
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NPI Number | 1174515530
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Entity Type | Individual
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Provider Name | DR. NEAL ANDREW NAITO
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4301 JONES BRIDGE RD
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City | BETHESDA
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State | MD
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Zip | 20814-4712
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Country | US
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Telephone | 301-295-9773
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Fax |
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Provider Business Mailing Address
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Address Line | 7125 COLLINGWOOD CT
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City | ELKRIDGE
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State | MD
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Zip | 21075-5548
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Country | US
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Telephone | 410-747-8168
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29054
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License Number State | WI
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