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General NPI Number Information
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NPI Number | 1497947543
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Entity Type | Individual
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Provider Name | ANUJ PRASHAR D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 06/27/2021
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Provider Practice Location Address
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Address Line | 10810 CONNECTICUT AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-2138
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Country | US
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Telephone | 215-205-0172
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 CHAIN BRIDGE RD
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City | VIENNA
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State | VA
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Zip | 22181-5302
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Country | US
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Telephone | 215-205-0172
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OSO12748
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License Number State | PA
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