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General NPI Number Information
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NPI Number | 1710837562
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Entity Type | Organization
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Legal Business Name | ADVENTIST HOSPITAL-BASE PROVIDERS
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 901 HARRY S TRUMAN DR N
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-5477
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Country | US
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Telephone | 301-677-7250
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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 | SR. PROVIDER ENROLLMENT SPECIALIST
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Name | TAWANDA MCPHERSON
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Credential |
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Telephone | 301-315-3102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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