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General NPI Number Information
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NPI Number | 1265893515
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Entity Type | Organization
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Legal Business Name | CAPITAL OB GYN SPECIALISTS, PA
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 18109 PRINCE PHILIP DR SUITE 275
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City | OLNEY
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State | MD
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Zip | 20832-1519
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Country | US
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Telephone | 240-620-6704
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Fax |
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Provider Business Mailing Address
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Address Line | 18109 PRINCE PHILIP DR SUITE 275
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City | OLNEY
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State | MD
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Zip | 20832-1519
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZARINA HUSSAIN
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Credential | MD
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Telephone | 240-620-6704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0054953
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License Number State | MD
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