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General NPI Number Information
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NPI Number | 1790754554
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Entity Type | Individual
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Provider Name | RONI W FORD MD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 6 MONTGOMERY VILLAGE AVE SUITE 322
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3546
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Country | US
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Telephone | 301-977-2070
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Fax | 301-330-9452
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Provider Business Mailing Address
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Address Line | 6 MONTGOMERY VILLAGE AVE SUITE 322
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3546
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Country | US
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Telephone | 301-977-2070
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Fax | 301-330-9452
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D44738
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License Number State | MD
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