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NPI 1174675201

NPI 1174675201 : LISA CHRISTINE TURTZO M.D., PH.D. : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1174675201
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    Entity Type          |    Individual 
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    Provider Name        |    LISA CHRISTINE TURTZO M.D., PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2007
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    Last Update Date     |    06/10/2015
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Provider Practice Location Address
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    Address Line         |    10 CENTER DRIVE NIH CLINICAL CENTER
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20814
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    Country              |    US
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    Telephone            |    860-679-8939
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    Fax                  |    860-679-1181
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Provider Business Mailing Address
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    Address Line         |    10 CENTER DRIVE NIH, BUILDING 10 ROOM B10733 MSC 1063
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20814
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    Country              |    US
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    Telephone            |    301-435-7659
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    Fax                  |    860-679-1181
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    P17956
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    D0070717
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    License Number State |    MD
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