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General NPI Number Information
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NPI Number | 1841006012
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Entity Type | Organization
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Legal Business Name | M MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 6530 DEMOCRACY BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-1679
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Country | US
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Telephone | 301-530-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 4806 U ST NW
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City | WASHINGTON
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State | DC
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Zip | 20007-1546
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KRYSTLE D BROWN
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Credential |
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Telephone | 410-870-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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