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General NPI Number Information
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NPI Number | 1508046590
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Entity Type | Organization
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Legal Business Name | ROBERT F. BLYTHE, MD
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 11161 NEW HAMPSHIRE AVE SUITE 400
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City | SILVER SPRING
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State | MD
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Zip | 20904-2606
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Country | US
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Telephone | 301-592-1225
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Fax | 301-592-1229
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Provider Business Mailing Address
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Address Line | 11161 NEW HAMPSHIRE AVE SUITE 400
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City | SILVER SPRING
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State | MD
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Zip | 20904-2606
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Country | US
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Telephone | 301-592-1225
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Fax | 301-592-1229
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. RACHEL W OBENSCHAIN
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Credential |
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Telephone | 301-575-5535
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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 | D0017548
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License Number State | MD
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