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General NPI Number Information
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NPI Number | 1356544779
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Entity Type | Organization
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Legal Business Name | MEDICAL REVIEW ORGANIZATION PA
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 9709 STONEYBROOK DR
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City | KENSINGTON
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State | MD
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Zip | 20895-3146
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Country | US
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Telephone | 301-589-7441
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Fax | 301-495-8991
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Provider Business Mailing Address
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Address Line | 9709 STONEYBROOK DR
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City | KENSINGTON
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State | MD
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Zip | 20895-3146
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Country | US
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Telephone | 301-589-7441
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Fax | 301-495-8991
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANET KAYE ONEAL
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Credential | DO
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Telephone | 301-589-7441
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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 | H0043745
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License Number State | MD
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