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General NPI Number Information
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NPI Number | 1235688896
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Entity Type | Organization
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Legal Business Name | SUGARBAKER HONG SURGICAL ASSOCIATES PC
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW STE. 3900
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-877-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 106 IRVING ST NW STE. 3900
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-877-3908
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PAUL HENDRICK SUGARBAKER
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Credential | MD
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Telephone | 202-877-3908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD038999
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License Number State | DC
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