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General NPI Number Information
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NPI Number | 1215098827
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Entity Type | Organization
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Legal Business Name | MEDSTAR NATIONAL REHABILITATION HOSPITAL
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 102 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2921
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Country | US
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Telephone | 202-877-1734
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Fax | 202-723-0428
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Provider Business Mailing Address
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Address Line | 102 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2921
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Country | US
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Telephone | 202-877-1734
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Fax | 202-723-0428
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. MICHAEL ROBERTS
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Credential | RPH
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Telephone | 202-877-1733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | RX1200012
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License Number State | DC
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