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General NPI Number Information
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NPI Number | 1760555221
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Entity Type | Individual
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Provider Name | MICHAEL RO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 21170 ASHBY PONDS BLVD
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City | ASHBURN
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State | VA
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Zip | 20147-6128
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Country | US
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Telephone | 571-291-6131
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Fax | 571-291-6135
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Provider Business Mailing Address
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Address Line | 5525 RESEARCH PARK DR 4TH FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21228-4873
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Country | US
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Telephone | 571-291-6131
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Fax | 571-291-6135
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0039297
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License Number State | MD
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