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General NPI Number Information
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NPI Number | 1326163544
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Entity Type | Organization
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Legal Business Name | WALTER REED NATIONAL MILITARY MEDICAL CENTER
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 8901 ROCKVILLE PIKE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 ROCKVILLE PIKE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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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 | DEPT HEAD
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Name | KYLE BERRY
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Credential |
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Telephone | 301-295-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 23960
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License Number State | NE
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