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General NPI Number Information
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NPI Number | 1598927063
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Entity Type | Individual
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Provider Name | MARIT CONNOR DUFFY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 2002 MEDICAL PKWY STE 235
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3260
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Country | US
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Telephone | 410-266-2770
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Fax | 410-841-6251
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Provider Business Mailing Address
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Address Line | 9300 DEWITT LOOP FORT BELVOIR COMMUNITY HOSPITAL DEPARTMENT OF RADIOLOGY
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City | FT BELVOIR
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State | VA
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Zip | 22060
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Country | US
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Telephone | 703-517-2403
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101247096
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License Number State | VA
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