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General NPI Number Information
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NPI Number | 1295923480
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Entity Type | Organization
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Legal Business Name | NEUROLOGY CLINIC OF WASHINGTON
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 8218 WISCONSIN AVE P-14
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City | BETHESDA
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State | MD
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Zip | 20814-3107
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Country | US
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Telephone | 301-260-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 8218 WISCONSIN AVE P-14
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City | BETHESDA
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State | MD
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Zip | 20814-3107
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Country | US
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Telephone | 301-260-7600
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BARBARA PATRIDGE
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Credential |
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Telephone | 301-260-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0054916
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License Number State | MD
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