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General NPI Number Information
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NPI Number | 1841284213
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Entity Type | Individual
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Provider Name | AMJAD MIAN RASUL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST., N.E. #114
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City | WASHINGTON
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State | DC
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Zip | 20017-2110
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Country | US
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Telephone | 202-526-8966
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Fax | 202-526-6025
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Provider Business Mailing Address
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Address Line | 17770 CHIPPING CT
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City | OLNEY
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State | MD
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Zip | 20832-1626
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Country | US
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Telephone | 301-570-7813
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Fax | 202-526-6025
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0025802
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD12149
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License Number State | DC
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