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General NPI Number Information
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NPI Number | 1720238587
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Entity Type | Organization
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Legal Business Name | ERIC A. ORISTIAN, MD, P C
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 2730 UNIVERSITY BLVD W STE 216
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City | WHEATON
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State | MD
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Zip | 20902-1905
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Country | US
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Telephone | 301-942-4080
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Fax | 301-942-4082
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Provider Business Mailing Address
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Address Line | 2730 UNIVERSITY BLVD W STE 216
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City | WHEATON
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State | MD
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Zip | 20902-1905
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Country | US
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Telephone | 301-942-4080
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Fax | 301-942-4082
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAURIE ORISTIAN
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Credential |
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Telephone | 301-942-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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