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General NPI Number Information
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NPI Number | 1629342613
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Entity Type | Individual
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Provider Name | AMRITA MUKHERJEE D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 18550 OFFICE PARK DR
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City | MONTGOMERY VILLAGE
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State | MD
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Zip | 20886-0586
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Country | US
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Telephone | 301-869-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 15245 SHADY GROVE RD STE 340
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City | ROCKVILLE
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State | MD
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Zip | 20850-7201
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Country | US
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Telephone | 667-303-1042
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Fax | 301-417-4947
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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 | H0098902
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | H0098902
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License Number State | MD
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