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General NPI Number Information
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NPI Number | 1508943192
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Entity Type | Individual
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Provider Name | ELIAS B AWAD MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 201 N WASHINGTON ST KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4518
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Country | US
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Telephone | 703-237-4000
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Fax | 703-531-1700
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Provider Business Mailing Address
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Address Line | 2101 EAST JEFFERSON STREET KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
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City | ROCKVILLE
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State | MD
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Zip | 20852-4908
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Country | US
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Telephone | 301-816-2424
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD039616
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0071559
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101233448
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License Number State | VA
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