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General NPI Number Information
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NPI Number | 1528509148
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Entity Type | Organization
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Legal Business Name | INSIGHT FAMILY MEDICINE INC.
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 10110 MOLECULAR DR SUITE 214
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City | ROCKVILLE
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State | MD
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Zip | 20850-7539
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Country | US
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Telephone | 240-328-8169
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Fax |
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Provider Business Mailing Address
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Address Line | 9224 ORCHARD BROOK DR
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City | POTOMAC
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State | MD
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Zip | 20854-2405
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Country | US
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Telephone | 240-328-8169
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FANG WANG
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Credential |
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Telephone | 240-328-8169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | U02215
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License Number State | MD
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