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General NPI Number Information
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NPI Number | 1477344299
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Entity Type | Organization
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Legal Business Name | MEDSTAR HEALTH INC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-877-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 8408 XENE LN N
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City | MAPLE GROVE
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State | MN
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Zip | 55311-1805
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Country | US
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Telephone | 612-584-8688
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD WOO
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Credential | MD
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Telephone | 202-877-0275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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