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General NPI Number Information
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NPI Number | 1538827324
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Entity Type | Organization
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Legal Business Name | POMELO PC
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 4701 SANGAMORE RD STE N100
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City | BETHESDA
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State | MD
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Zip | 20816-2558
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Country | US
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Telephone | 914-919-9200
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Fax | 218-875-6731
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Provider Business Mailing Address
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Address Line | 4701 SANGAMORE RD STE N100
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City | BETHESDA
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State | MD
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Zip | 20816-2558
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Country | US
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Telephone | 914-919-9200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISABELLE VON KOHORN
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Credential | MD, PHD
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Telephone | 203-535-9982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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