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General NPI Number Information
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NPI Number | 1821912262
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Entity Type | Organization
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Legal Business Name | MIDATLANTIC ENT
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 5454 WISCONSIN AVE STE 1535
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6922
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Country | US
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Telephone | 301-657-7850
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Fax |
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Provider Business Mailing Address
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Address Line | 5454 WISCONSIN AVE STE 1535
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6922
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Country | US
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Telephone | 301-657-7850
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DAVID SCOTT ROBINSON
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Credential |
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Telephone | 301-550-1825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology 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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State |
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