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General NPI Number Information
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NPI Number | 1790890895
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Entity Type | Individual
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Provider Name | JONAS RONAN RUDZKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | DISTRICT ORTHOPAEDICS, PC 5454 WISCONSIN AVENUE, 1000
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6949
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Country | US
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Telephone | 301-882-2000
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Fax | 240-858-4291
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Provider Business Mailing Address
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Address Line | DISTRICT ORTHOPAEDICS, PC 5454 WISCONSIN AVENUE, 1000
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6949
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Country | US
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Telephone | 301-882-2000
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Fax | 240-858-4291
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 035982
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 035982
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License Number State | DC
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