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General NPI Number Information
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NPI Number | 1639658420
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Entity Type | Organization
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Legal Business Name | WASHINGTON INTERNATIONAL PEDIATRICS LLC
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 4808 MOORLAND LANE SUITE 109
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 301-792-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 4808 MOORLAND LN STE 109
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City | BETHESDA
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State | MD
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Zip | 20814-6131
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Country | US
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Telephone | 301-792-5260
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SABINE DE LA CROIX-VAUBOIS
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Credential | MD
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Telephone | 301-792-5260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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