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General NPI Number Information
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NPI Number | 1619506979
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Entity Type | Individual
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Provider Name | AASHISH DEWAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 18109 PRINCE PHILIP DR STE B200
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City | OLNEY
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State | MD
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Zip | 20832-1591
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Country | US
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Telephone | 240-883-9791
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Fax |
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Provider Business Mailing Address
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Address Line | 11403 BROOK RUN DR
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City | GERMANTOWN
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State | MD
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Zip | 20876-6021
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Country | US
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Telephone | 301-832-7858
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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 | MD600001864
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 156122
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D98444
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101279871
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License Number State | VA
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