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General NPI Number Information
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NPI Number | 1356180137
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Entity Type | Organization
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Legal Business Name | METROPOLITAN CARDIOVASCULAR
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 10806 HICKORY RIDGE RD 201
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City | COLUMBIA
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State | MD
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Zip | 21044-3622
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Country | US
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Telephone | 410-715-9990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1234
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City | LAUREL
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State | MD
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Zip | 20725-1234
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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 | OWNER
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Name | AYIM KWASI AKYEA DJAMSON
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Credential |
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Telephone | 301-595-0356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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