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General NPI Number Information
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NPI Number | 1295923084
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Entity Type | Organization
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Legal Business Name | ABC CARDIOLOGY CONSULTANTS, HERMAN GIST MD, P.C.
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW SUITE 1500 NORTH TOWER
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-829-2834
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Fax | 202-882-1274
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Provider Business Mailing Address
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Address Line | 11140 ROCKVILLE PIKE SUITE 100, #335
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City | ROCKVILLE
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State | MD
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Zip | 20852-3106
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Country | US
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Telephone | 202-829-2834
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Fax | 202-882-1274
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | DR. HERMAN GIST
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Credential | M.D.
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Telephone | 202-829-2834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 20174
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License Number State | DC
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