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General NPI Number Information
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NPI Number | 1770918997
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Entity Type | Organization
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Legal Business Name | NATIONAL INSTITUTE OF HEALTH
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | NATIONAL INSTITUTE OF HEALTH 9609 MEDICAL DR RM 5-W524 MSC9704 (FOR UPS DELIVERY)
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City | BETHESDA
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State | MD
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Zip | 20892-9704
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Country | US
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Telephone | 240-276-6121
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Fax | 240-276-7894
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Provider Business Mailing Address
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Address Line | NATIONAL INSTITUTE OF HEALTH 9609 MEDICAL DR RM 5-W524 MSC9704 (FOR UPS DELIVERY)
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City | BETHESDA
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State | MD
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Zip | 20892-9704
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Country | US
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Telephone | 240-276-6121
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Fax | 240-276-7894
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Authorized Official
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Title or Position | SENIOR INVESTIGATOR
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Name | DR. NAOKO TAKEBE
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Credential | M.D., PHD.
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Telephone | 301-273-8174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | D0055341
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License Number State | MD
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