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NPI 1194152215

NPI 1194152215 : MEGGIE S TORTOLERO PA : CHEVY CHASE, MD

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General NPI Number Information
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    NPI Number           |    1194152215
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    Entity Type          |    Individual 
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    Provider Name        |    MEGGIE S TORTOLERO PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2013
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    Last Update Date     |    03/14/2025
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Provider Practice Location Address
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    Address Line         |    8401 CONNECTICUT AVE PH SUITE 
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-5822
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    Country              |    US
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    Telephone            |    301-942-2212
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    Fax                  |    415-252-7176
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Provider Business Mailing Address
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    Address Line         |    8401 CONNECTICUT AVE PH SUITE 
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-5822
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    Country              |    US
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    Telephone            |    301-942-2212
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA4772
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    License Number State |    MA
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