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General NPI Number Information
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NPI Number | 1174777312
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Entity Type | Organization
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Legal Business Name | RICARDO O PYFROM MD PA
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 12150 ANNAPOLIS RD SUITE 305
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City | GLENN DALE
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State | MD
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Zip | 20769-9183
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Country | US
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Telephone | 301-809-2515
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Fax | 301-809-2574
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Provider Business Mailing Address
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Address Line | 6035 BURKE CENTRE PKWY SUITE 390
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City | BURKE
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State | VA
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Zip | 22015-3750
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Country | US
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Telephone | 703-327-5316
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. JULIE A WIEHE
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Credential |
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Telephone | 703-327-5316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D0053494
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License Number State | MD
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