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General NPI Number Information
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NPI Number | 1619175494
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Entity Type | Organization
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Legal Business Name | HOWARD BOLTANSKY MD PC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 3301 NEW MEXICO AVENUE NW SUITE 223
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City | WASHINGTON
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State | DC
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Zip | 20016
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Country | US
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Telephone | 202-966-7100
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Fax | 202-966-7100
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Provider Business Mailing Address
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Address Line | 3301 NEW MEXICO AVENUE NW SUITE 223
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City | WASHINGTON
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State | DC
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Zip | 20016
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Country | US
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Telephone | 202-966-7100
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Fax | 202-966-2196
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD BOLTANSKY
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Credential | MD
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Telephone | 202-966-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD14490
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License Number State | DC
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