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General NPI Number Information
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NPI Number | 1598263006
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Entity Type | Organization
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Legal Business Name | DAVID C GROSS, MD, PC
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW #412
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City | WASHINGTON
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State | DC
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Zip | 20010
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Country | US
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Telephone | 202-291-6705
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Fax | 202-291-1915
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Provider Business Mailing Address
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Address Line | 10319 WESTLAKE DR #136
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City | BETHESDA
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State | MD
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Zip | 20817
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Country | US
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Telephone | 202-291-6705
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Fax | 202-291-1915
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Authorized Official
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Title or Position | SOLE PROPRIETOR/CORP
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Name | DR. DAVID CHARLES GROSS
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Credential | MD, PC
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Telephone | 202-744-9047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD14045
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License Number State | DC
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