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NPI 1417990581

NPI 1417990581 : MEDICAL FACULTY ASSOCIATES, INC : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1417990581
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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     |    06/14/2006
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    Last Update Date     |    01/28/2008
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Provider Practice Location Address
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    Address Line         |    2150 PENNSYLVANIA AVE NW SUITE 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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Provider Business Mailing Address
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    Address Line         |    2150 PENNSYLVANIA AVE NW SUITE 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    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    MR. STEPHEN L. BADGER 
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    Credential           |    
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    Telephone            |    202-741-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology 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        |    207ND0900X
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    Taxonomy Name        |    Dermatopathology 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        |    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 #4
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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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Taxonomy #5
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    Taxonomy Code        |    207SG0202X
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    Taxonomy Name        |    Clinical Biochemical Genetics 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        |    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 #7
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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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 #9
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    Taxonomy Code        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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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 #11
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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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 #14
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    Taxonomy Code        |    2085B0100X
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    Taxonomy Name        |    Body Imaging Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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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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