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General NPI Number Information
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NPI Number | 1205835485
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Entity Type | Organization
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Legal Business Name | WASHINGTON CARDIOVASCULAR INSTITUTE LLC
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 7610 CARROLL AVE STE 100
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6311
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Country | US
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Telephone | 301-891-2500
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Fax | 301-891-1704
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Provider Business Mailing Address
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Address Line | 7610 CARROLL AVE SUITE 100
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City | TAKOMA PARK
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State | MD
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Zip | 20912
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Country | US
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Telephone | 301-891-2500
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Fax | 301-891-1704
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MUBASHAR A. CHOUDRY
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Credential | M.D.
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Telephone | 301-891-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D42222
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License Number State | MD
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