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General NPI Number Information
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NPI Number | 1376726422
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Entity Type | Individual
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Provider Name | NATALLIA SHOTASHVILI M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 8455 COLESVILLE RD STE 1125
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City | SILVER SPRING
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State | MD
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Zip | 20910-6397
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Country | US
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Telephone | 301-615-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 15825 SHADY GROVE RD SUITE 140
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City | ROCKVILLE
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State | MD
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Zip | 20850-4008
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Country | US
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Telephone | 301-869-9776
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Fax | 301-216-2592
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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 | 000000
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License Number State | DC
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