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General NPI Number Information
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NPI Number | 1356409338
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Entity Type | Individual
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Provider Name | MARIO L MAJETTE MD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 09/01/2014
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Provider Practice Location Address
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Address Line | 10801 LOCKWOOD DR SUITE 160
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City | SILVER SPRING
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State | MD
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Zip | 20901-1556
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Country | US
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Telephone | 301-592-0885
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Fax | 301-592-0889
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Provider Business Mailing Address
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Address Line | 10801 LOCKWOOD DR SUITE 160
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City | SILVER SPRING
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State | MD
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Zip | 20901-1556
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Country | US
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Telephone | 301-592-0885
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Fax | 301-592-0889
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D52743
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD30475
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License Number State | DC
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