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General NPI Number Information
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NPI Number | 1467366633
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Entity Type | Individual
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Provider Name | DR. ANIS ASSAD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 10 CENTER DR
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City | BETHESDA
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State | MD
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Zip | 20892-0004
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Country | US
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Telephone | 514-804-6794
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 CARTERWOOD DR
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City | FAIRFAX
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State | VA
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Zip | 22032-2414
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Country | US
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Telephone | 514-804-6794
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD600005866
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License Number State | DC
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