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General NPI Number Information
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NPI Number | 1457475105
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Entity Type | Individual
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Provider Name | RAYMOND E WATERS III M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 05/07/2023
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Provider Practice Location Address
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Address Line | 2041 GEORGIA AVENUE NW SUITE 3400
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City | WASHINGTON
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State | DC
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Zip | 20060-3395
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Country | US
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Telephone | 202-865-6679
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Fax |
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Provider Business Mailing Address
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Address Line | 1641 CRITTENDEN ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-3395
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Country | US
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Telephone | 202-526-3870
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD16991
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101043781
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D38270
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0038270
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License Number State | MD
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