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General NPI Number Information
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NPI Number | 1376624437
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Entity Type | Individual
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Provider Name | THOMAS FREDERICK QUALEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | C/O PRICE MEDICAL 1330 NEW HAMPSHIRE AVE, NW #121
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City | WASHINGTON
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State | DC
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Zip | 20036
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Country | US
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Telephone | 202-463-0220
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Fax | 202-463-0222
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Provider Business Mailing Address
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Address Line | 1702 P ST NW
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City | WASHINGTON
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State | DC
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Zip | 20036-1326
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Country | US
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Telephone | 202-210-5833
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Fax | 202-463-0220
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD32275
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License Number State | DC
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