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General NPI Number Information
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NPI Number | 1780067470
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Entity Type | Individual
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Provider Name | AKSHAT VYAS MBBS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 1500 GALEN ST SE
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City | WASHINGTON
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State | DC
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Zip | 20020
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Country | US
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Telephone | 202-610-7160
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Fax |
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Provider Business Mailing Address
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Address Line | 6202 86TH AVE
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-2704
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Country | US
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Telephone | 424-603-1099
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MTL003235
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD045913
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License Number State | DC
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