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General NPI Number Information
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NPI Number | 1639130222
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Entity Type | Organization
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Legal Business Name | WALTER REED NATIONAL MILITARY MEDICAL CNTR
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | PSC BOX 509 CODE 6300 8901 WISCONSIN AVENUE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-4934
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Fax | 301-319-8798
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Provider Business Mailing Address
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Address Line | PSC BOX 509 CODE 6300 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-5600
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Country | US
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Telephone | 301-295-4189
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Fax | 301-319-8798
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Authorized Official
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Title or Position | UBO MANAGER
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Name | CHERYL GARDNER
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Credential |
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Telephone | 301-295-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number |
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License Number State | MD
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