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General NPI Number Information
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NPI Number | 1780629097
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Entity Type | Individual
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Provider Name | INGRID GHEEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 11600 MAGRUDER LN
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City | ROCKVILLE
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State | MD
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Zip | 20852-4366
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Country | US
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Telephone | 301-652-6612
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Fax | 301-816-9174
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Provider Business Mailing Address
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Address Line | 11600 MAGRUDER LN
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City | ROCKVILLE
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State | MD
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Zip | 20852-4366
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Country | US
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Telephone | 301-652-6612
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Fax | 301-816-9174
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D0023432
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License Number State | MD
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