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General NPI Number Information
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NPI Number | 1356302095
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Entity Type | Individual
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Provider Name | CHARLES S HESDORFFER MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 10 CENTER DR RM 4-5140
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City | BETHESDA
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State | MD
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Zip | 20892-0004
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Country | US
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Telephone | 310-402-2339
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Fax | 310-594-1290
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Provider Business Mailing Address
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Address Line | 1176 RIVER BAY RD
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City | ANNAPOLIS
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State | MD
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Zip | 21409-4832
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Country | US
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Telephone | 917-991-7772
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Fax |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 169687
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD040886
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License Number State | DC
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