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General NPI Number Information
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NPI Number | 1619239795
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Entity Type | Individual
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Provider Name | PHILIP PATRICK MAHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 20 UNIVERSITY BLVD E
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City | SILVER SPRING
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State | MD
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Zip | 20901-2436
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Country | US
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Telephone | 855-910-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 20 UNIVERSITY BLVD E
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City | SILVER SPRING
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State | MD
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Zip | 20901-2436
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01082928A
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License Number State | IN
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