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General NPI Number Information
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NPI Number | 1235172685
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Entity Type | Individual
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Provider Name | MR. JAMES GEORGE SMIRNIOTOPOULOS
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6825 16TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20306-0003
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Country | US
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Telephone | 202-782-2153
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Fax | 202-782-0768
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Provider Business Mailing Address
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Address Line | 204 ELDRID DR
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City | SILVER SPRING
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State | MD
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Zip | 20904-3509
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Country | US
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Telephone | 301-295-3145
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Fax | 301-295-4165
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 13050
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License Number State | DC
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