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General NPI Number Information
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NPI Number | 1598180507
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Entity Type | Organization
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Legal Business Name | WALTER REED NATIONAL MILITARY MEDICAL CNTR
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 4954 N PALMER RD BLDG 19, ROOM 3460
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City | BETHESDA
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State | MD
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Zip | 20889-5630
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Country | US
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Telephone | 301-400-1272
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Fax |
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Provider Business Mailing Address
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Address Line | 4954 N PALMER RD BLDG 19, ROOM 3460
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City | BETHESDA
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State | MD
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Zip | 20889-5630
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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 | GYN ONC
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Name | MICHAEL STANY
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Credential | MD
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Telephone | 301-400-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State |
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