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General NPI Number Information
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NPI Number | 1659396703
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Entity Type | Organization
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Legal Business Name | FAMILY ENT ALLERGY AND ASTHMA CENTER PC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 806 W DIAMOND AVE SUITE 360
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1415
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Country | US
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Telephone | 301-948-4066
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Fax | 301-963-2283
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Provider Business Mailing Address
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Address Line | 806 W DIAMOND AVE SUITE 360
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1415
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Country | US
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Telephone | 301-948-4066
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Fax | 301-963-2283
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Authorized Official
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Title or Position | OWNER, MD
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Name | VIBHAV SEKHSARIA
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Credential |
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Telephone | 301-468-5922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0044244
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License Number State | MD
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