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General NPI Number Information
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NPI Number | 1851466734
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Entity Type | Individual
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Provider Name | STEVEN ARNOLD POLAKOFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2006
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE 852
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-718-0313
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Fax |
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Provider Business Mailing Address
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Address Line | 7008 MOUNTAIN GATE DR
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City | BETHESDA
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State | MD
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Zip | 20817-3913
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Country | US
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Telephone | 301-365-5217
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0035104
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | D0035104
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License Number State | MD
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