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General NPI Number Information
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NPI Number | 1538155437
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Entity Type | Individual
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Provider Name | ASHISH KISHORE TOLIA D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 6201 ANNAPOLIS RD
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City | LANDOVER HILLS
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State | MD
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Zip | 20784-1307
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Country | US
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Telephone | 301-276-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 FOREST GLEN RD PO BOX 83819, GAITHERSBURG MD 20883 FOR CORRESPONDENCE
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City | SILVER SPRING
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State | MD
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Zip | 20910-1483
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Country | US
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Telephone | 301-754-7991
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Fax | 301-754-7990
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H0064588
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License Number State | MD
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