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General NPI Number Information
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NPI Number | 1669688024
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Entity Type | Individual
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Provider Name | GERTI TASHKO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 15204 OMEGA DR STE 240
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-658-3586
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Fax | 240-427-4704
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Provider Business Mailing Address
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Address Line | 15204 OMEGA DR STE 240
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City | ROCKVILLE
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State | MD
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Zip | 20850-4841
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Country | US
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Telephone | 301-658-3586
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Fax | 240-427-4704
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD443090
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD443090
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RH0005X
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Taxonomy Name | Hypertension Specialist Physician
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License Number | D79388
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | D0079388
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License Number State | MD
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