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General NPI Number Information
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NPI Number | 1609070556
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Entity Type | Individual
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Provider Name | SHAWN MICHELLE SUMIDA MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 8901 ROCKVILLE PIKE
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City | BETHESDA
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State | MD
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Zip | 20889-3301
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Country | US
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Telephone | 808-225-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 17718 TOBOGGAN LN
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City | ROCKVILLE
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State | MD
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Zip | 20855-2830
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Country | US
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Telephone | 808-225-3314
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D71299
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License Number State | MD
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