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General NPI Number Information
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NPI Number | 1184824815
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Entity Type | Organization
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Legal Business Name | SUBURBAN HOSPITAL
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 8600 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814-1422
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Country | US
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Telephone | 301-896-3100
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Fax | 301-896-7346
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Provider Business Mailing Address
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Address Line | 4025 GLENRIDGE ST
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City | KENSINGTON
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State | MD
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Zip | 20895-3708
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Country | US
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Telephone | 301-933-6656
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. BARBARA S. CAULFIELD
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Credential | CRNP
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Telephone | 301-896-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 117986
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License Number State | MD
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