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General NPI Number Information
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NPI Number | 1831248400
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Entity Type | Individual
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Provider Name | SHON ANTHONY REMICH MD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6900 GEORGIA AVE NW STE 1J93
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City | WASHINGTON
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State | DC
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Zip | 20307-0003
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Country | US
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Telephone | 202-782-6849
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 APPLE TREE LN
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City | SILVER SPRING
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State | MD
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Zip | 20905-4413
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Country | US
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Telephone | 301-879-4990
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD32358
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License Number State | DC
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