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General NPI Number Information
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NPI Number | 1407034549
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Entity Type | Organization
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Legal Business Name | WELLNESS MEDICIAL CENTER LLC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 10901 CONNECTICUT AVE SUITE 100
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City | KENSINGTON
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State | MD
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Zip | 20895-1645
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Country | US
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Telephone | 301-942-7900
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Fax | 301-942-9837
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Provider Business Mailing Address
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Address Line | 10901 CONNECTICUT AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-1645
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Country | US
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Telephone | 301-942-7900
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Fax | 301-942-9837
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ARUNA S NATHAN
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Credential | M.D.
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Telephone | 301-942-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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