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General NPI Number Information
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NPI Number | 1194722306
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Entity Type | Organization
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Legal Business Name | WHITE OAK PEDIATRICS, DRS. BATTIATA & IMPEDUGLIA, P.A.
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 903 RUSSELL AVE STE 301
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3257
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Country | US
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Telephone | 301-869-2292
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Fax | 877-673-1105
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Provider Business Mailing Address
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Address Line | 903 RUSSELL AVE STE 301
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3257
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Country | US
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Telephone | 301-869-2292
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Fax | 877-673-1105
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Authorized Official
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Title or Position | CEO
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Name | HANNAH COHEN
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Credential |
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Telephone | 720-635-0992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D003342
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License Number State | MD
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