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General NPI Number Information
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NPI Number | 1427178383
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Entity Type | Organization
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Legal Business Name | MEDICAL DIAGNOSTIC ASSOCIATES
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Dates
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Enumeration Date | 04/01/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 10600 RIVER OAKS LN
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City | POTOMAC
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State | MD
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Zip | 20854-1353
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Country | US
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Telephone | 301-983-5787
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Fax | 301-983-3935
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Provider Business Mailing Address
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Address Line | PO BOX 61443
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City | POTOMAC
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State | MD
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Zip | 20859-1443
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Country | US
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Telephone | 301-983-5787
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Fax | 301-983-3935
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Authorized Official
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Title or Position | OWNER
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Name | DIANNA FARZIN
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Credential | BS
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Telephone | 301-983-5787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D24061
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License Number State | MD
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