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General NPI Number Information
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NPI Number | 1619348349
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Entity Type | Organization
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Legal Business Name | MEDICAL FACULTY ASSOCIATES, INC.
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 900 23RD ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-2342
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Country | US
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Telephone | 202-741-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 L ST NW STE 450
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City | WASHINGTON
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State | DC
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Zip | 20037-1541
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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 | CEO
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Name | STEPHEN BADGER
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Credential |
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Telephone | 202-741-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | PA031182
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License Number State | DC
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