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General NPI Number Information
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NPI Number | 1811735525
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Entity Type | Organization
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Legal Business Name | ADVENTIST HOSPITAL-BASED PROVIDERS, LLC
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 9901 MEDICAL CENTER DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-3357
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Country | US
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Telephone | 240-826-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 820 W DIAMOND AVE STE 500
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1469
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Country | US
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Telephone | 301-315-3826
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SENDA BELTAIFA
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Credential | MD
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Telephone | 202-460-4469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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