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General NPI Number Information
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NPI Number | 1184912347
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Entity Type | Individual
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Provider Name | ANDREW KOLKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 2150 PENNSYLVANIA AVE NW SUITE 2A
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City | WASHINGTON
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State | DC
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Zip | 20037-3201
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Country | US
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Telephone | 202-741-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 25TH ST NW APARTMENT 204
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City | WASHINGTON
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State | DC
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Zip | 20037-1658
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Country | US
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Telephone | 410-627-9627
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MTL000508
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License Number State | DC
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