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General NPI Number Information
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NPI Number | 1760758767
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Entity Type | Individual
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Provider Name | JOSHUA RENE LACSINA M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2012
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 10 CENTER DR
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 240-292-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 12735 TWINBROOK PKWY RM 2E-22
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City | ROCKVILLE
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State | MD
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Zip | 20852-1770
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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 |
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD044059
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License Number State | DC
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