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General NPI Number Information
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NPI Number | 1265697635
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Entity Type | Organization
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Legal Business Name | FT WASHINGTON FAMILY CARE, P.C.
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 10905 FORT WASHINGTON RD # 206
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City | FT WASHINGTON
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State | MD
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Zip | 20744-5843
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Country | US
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Telephone | 301-292-2400
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Fax | 301-292-1048
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Provider Business Mailing Address
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Address Line | 10905 FORT WASHINGTON RD # 206
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City | FT WASHINGTON
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State | MD
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Zip | 20744-5843
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Country | US
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Telephone | 301-292-2400
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Fax | 301-292-1048
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL A BONE
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Credential |
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Telephone | 301-292-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D46285
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License Number State | MD
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