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General NPI Number Information
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NPI Number | 1477446326
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Entity Type | Organization
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Legal Business Name | WATKINS MILL ASC LLC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 55 W WATKINS MILL RD STE 250
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City | GAITHERSBURG
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State | MD
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Zip | 20878-4021
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Country | US
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Telephone | 240-425-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 6707 DEMOCRACY BLVD STE 504
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City | BETHESDA
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State | MD
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Zip | 20817-1166
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Country | US
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Telephone | 240-425-4391
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Fax | 240-425-4391
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER RAFFO
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Credential | MD
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Telephone | 240-912-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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