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General NPI Number Information
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NPI Number | 1205896446
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Entity Type | Organization
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Legal Business Name | SUBURBAN HOSPITAL, INC.
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 05/21/2024
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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 | 301-896-6002
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Fax |
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Provider Business Mailing 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 | 301-896-3901
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Fax | 301-230-1927
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LEIGHANN SIDONE
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Credential |
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Telephone | 301-896-2576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 15332
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 15332
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License Number State | MD
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