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General NPI Number Information
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NPI Number | 1295520732
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COUNTY MARYLAND GOVERNMENT
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2000 DENNIS AVE FL 2
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City | SILVER SPRING
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State | MD
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Zip | 20902-4136
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Country | US
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Telephone | 240-777-1875
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 ROCKVILLE PIKE
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City | ROCKVILLE
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State | MD
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Zip | 20852-1428
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Country | US
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Telephone | 240-777-1875
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JAMEELAH JOHNSON
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Credential |
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Telephone | 571-320-0150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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