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General NPI Number Information
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NPI Number | 1699871301
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Entity Type | Individual
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Provider Name | RICHARD HAMPDEN BIRDSONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | WALTER REED ARMY MEDICAL CENTER OPTHALMOLOGY SERVICE 6900 GEORGIA AVE
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City | WASHINGTON
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State | DC
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Zip | 20307-0001
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Country | US
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Telephone | 202-782-6966
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Fax | 202-782-6156
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Provider Business Mailing Address
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Address Line | 1221 NOYES DR
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City | SILVER SPRING
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State | MD
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Zip | 20910-2718
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Country | US
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Telephone | 301-589-7852
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Fax | 202-782-6156
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11334
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License Number State | MS
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