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General NPI Number Information
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NPI Number | 1528707395
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Entity Type | Organization
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Legal Business Name | RORA ANESTHESIA
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 5 N LA PLATA CT
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City | LA PLATA
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State | MD
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Zip | 20646-5207
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Country | US
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Telephone | 240-307-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 410 PIPING ROCK DR
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City | SILVER SPRING
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State | MD
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Zip | 20905-5652
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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 | MANAGER
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Name | OLUWAPELUMI OGUNYEMI
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Credential |
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Telephone | 202-594-7490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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