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General NPI Number Information
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NPI Number | 1396531422
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Entity Type | Organization
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Legal Business Name | MEDICAL FACULTY ASSOCIATES, INC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1200 PECAN ST SE
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City | WASHINGTON
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State | DC
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Zip | 20032-2652
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Country | US
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Telephone | 771-444-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 PENNSYLVANIA AVE NW STE 10-409A
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City | WASHINGTON
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State | DC
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Zip | 20037-3201
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Country | US
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Telephone | 202-741-3350
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR, REVENUE CYCLE
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Name | KIMBERLY COLLIC
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Credential |
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Telephone | 202-741-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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