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General NPI Number Information
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NPI Number | 1265245229
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Entity Type | Organization
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Legal Business Name | ERAN KESSOUS MD PC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 800 S FREDERICK AVE STE 203
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City | GAITHERSBURG
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State | MD
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Zip | 20877-4152
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Country | US
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Telephone | 301-754-0505
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Fax | 301-754-0509
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Provider Business Mailing Address
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Address Line | 11120 NEW HAMPSHIRE AVE STE 411
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City | SILVER SPRING
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State | MD
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Zip | 20904-2620
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Country | US
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Telephone | 301-754-0505
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Fax | 301-754-0509
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Authorized Official
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Title or Position | BILLER
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Name | DONA BOWIE
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Credential |
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Telephone | 301-254-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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