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General NPI Number Information
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NPI Number | 1821218660
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Entity Type | Organization
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Legal Business Name | PAIN AND REHABILITATION MEDICINE
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 7830 OLD GEORGETOWN RD SUITE C15
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City | BETHESDA
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State | MD
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Zip | 20814-2432
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Country | US
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Telephone | 301-656-0220
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Fax | 301-654-0333
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Provider Business Mailing Address
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Address Line | 7830 OLD GEORGETOWN RD SUITE C15
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City | BETHESDA
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State | MD
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Zip | 20814-2432
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Country | US
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Telephone | 301-656-0220
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Fax | 301-654-0333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT D GERWIN
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Credential | MD
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Telephone | 301-656-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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