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General NPI Number Information
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NPI Number | 1467726190
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Entity Type | Organization
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Legal Business Name | DOCTORS NEXT DOOR
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 10801 LOCKWOOD DR STE 160
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City | SILVER SPRING
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State | MD
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Zip | 20901-1556
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Country | US
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Telephone | 301-592-0885
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Fax |
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Provider Business Mailing Address
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Address Line | 955 S DELAWARE AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65802-3319
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Country | US
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Telephone | 877-697-4696
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADVISOR SVCS
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Name | TAMMY L MALLOW
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Credential |
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Telephone | 877-697-4696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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