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NPI 1700612074

NPI 1700612074 : ADVENTIST PHYSICIAN SERVICES, INC. : SILVER SPRING, MD

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General NPI Number Information
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    NPI Number           |    1700612074
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVENTIST PHYSICIAN SERVICES, INC. 
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Dates
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    Enumeration Date     |    09/12/2024
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    Last Update Date     |    09/12/2024
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Provider Practice Location Address
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    Address Line         |    11886 HEALING WAY STE 404 
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20904-7917
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    Country              |    US
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    Telephone            |    240-637-6000
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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            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ANALYST
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    Name                 |     FRAN  LINFORD 
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    Credential           |    
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    Telephone            |    301-315-3826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    
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    License Number State |    
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