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General NPI Number Information
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NPI Number | 1730251802
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Entity Type | Organization
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Legal Business Name | DRS MININBERG & FECHTER PA
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10301 GEORGIA AVE STE 105A
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City | SILVER SPRING
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State | MD
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Zip | 20902-5020
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Country | US
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Telephone | 301-681-2683
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Fax | 301-681-1494
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Provider Business Mailing Address
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Address Line | 10301 GEORGIA AVE STE 105A
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City | SILVER SPRING
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State | MD
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Zip | 20902-5020
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Country | US
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Telephone | 301-681-2683
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Fax | 301-681-1494
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. JAMIE A STEWART
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Credential |
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Telephone | 301-681-2683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4768
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D46443
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G067028
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D08092
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License Number State | MD
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