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NPI 1528333069

NPI 1528333069 : DOCTORS COMMUNITY HOSPITAL : LANHAM, MD

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General NPI Number Information
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    NPI Number           |    1528333069
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOCTORS COMMUNITY HOSPITAL 
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Dates
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    Enumeration Date     |    03/16/2012
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    Last Update Date     |    03/16/2012
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Provider Practice Location Address
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    Address Line         |    8118 GOOD LUCK RD 
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    City                 |    LANHAM
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    State                |    MD
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    Zip                  |    20706-3574
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    Country              |    US
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    Telephone            |    240-965-3621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2514 APPLETON LN 
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    City                 |    BOWIE
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    State                |    MD
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    Zip                  |    20716-1568
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FNP
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    Name                 |    MRS. PAULA MARIE YOUNG 
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    Credential           |    
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    Telephone            |    301-821-1532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    R117610
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    RN962963
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    License Number State |    DC
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