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General NPI Number Information
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NPI Number | 1841444106
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Entity Type | Organization
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Legal Business Name | WASHINGTON ORTHOPAEDIC ASSOCIATES
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 1638 MYRTLE ST NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1130
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Country | US
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Telephone | 202-321-8342
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Fax | 301-587-2894
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Provider Business Mailing Address
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Address Line | 1638 MYRTLE ST NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1130
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Country | US
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Telephone | 202-321-8342
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Fax | 301-587-2894
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PHILLIP H OMOHUNDRO
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Credential | MD
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Telephone | 202-321-8342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD13399
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License Number State | DC
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