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General NPI Number Information
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NPI Number | 1306849716
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Entity Type | Individual
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Provider Name | STEPHEN S. PAPPAS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 6420 ROCKLEDGE DR STE 4900
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City | BETHESDA
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State | MD
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Zip | 20817-7848
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Country | US
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Telephone | 301-571-5000
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Fax | 301-571-4307
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Provider Business Mailing Address
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Address Line | 6420 ROCKLEDGE DR STE 4900
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City | BETHESDA
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State | MD
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Zip | 20817-7848
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Country | US
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Telephone | 301-571-5000
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Fax | 301-571-4307
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101053846
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD20175
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 0101053846
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD20175
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | D0044710
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0044710
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License Number State | MD
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