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General NPI Number Information
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NPI Number | 1366304677
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Entity Type | Organization
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Legal Business Name | MEDSTAR MEDICAL GROUP II LLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5255 LOUGHBORO RD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2633
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Country | US
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Telephone | 202-444-8569
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 TILDEN ST NW STE 5N
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City | WASHINGTON
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State | DC
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Zip | 20008-3030
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Country | US
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Telephone | 703-558-1403
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Fax |
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Authorized Official
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Title or Position | VP
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Name | STEPHANIE SCHNEIDER
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Credential |
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Telephone | 702-558-1403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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