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General NPI Number Information
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NPI Number | 1255836276
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Entity Type | Individual
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Provider Name | YIANNIS PETROS DIMOPOULOS MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
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City | WASHINGTON
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State | DC
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Zip | 20007
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Country | US
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Telephone | 571-279-9301
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 RESERVOIR RD NW DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
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City | WASHINGTON
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State | DC
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Zip | 20007
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Country | US
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Telephone | 202-444-2000
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Fax |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD500002402
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License Number State | DC
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