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General NPI Number Information
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NPI Number | 1538249297
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Entity Type | Individual
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Provider Name | MICHELE P. MAIBERGER M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 50 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20422-0001
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Country | US
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Telephone | 202-745-8344
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Fax |
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Provider Business Mailing Address
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Address Line | 18000 SNOW CREEK DR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-3853
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Country | US
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Telephone | 301-258-5020
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0061905
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License Number State | MD
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