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NPI 1659283224

NPI 1659283224 : ADVENTIST PHYSICIAN SERVICE, INC : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1659283224
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVENTIST PHYSICIAN SERVICE, INC 
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Dates
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    Enumeration Date     |    09/19/2026
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    Last Update Date     |    09/19/2026
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Provider Practice Location Address
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    Address Line         |    6430 ROCKLEDGE DR STE 110 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20817-1856
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    Country              |    US
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    Telephone            |    240-630-8241
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    820 W DIAMOND AVE STE 500 
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    City                 |    GAITHERSBURG
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    State                |    MD
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    Zip                  |    20878-1469
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    Country              |    US
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    Telephone            |    301-315-3102
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGED CARE DIRECTOR
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    Name                 |     OKEZUE  NWACHUKU 
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    Credential           |    
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    Telephone            |    301-315-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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