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General NPI Number Information
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NPI Number | 1851504351
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Entity Type | Organization
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Legal Business Name | MITCHELL EYE INSTITUTE PC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 8200 WISCONSIN AVE STE 100
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City | BETHESDA
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State | MD
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Zip | 20814-3127
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Country | US
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Telephone | 301-656-2027
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Fax | 301-656-9690
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Provider Business Mailing Address
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Address Line | 8200 WISCONSIN AVE STE 100
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City | BETHESDA
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State | MD
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Zip | 20814-3127
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Country | US
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Telephone | 301-656-2027
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Fax | 301-656-9690
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN DAVID MITCHELL
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Credential | M.D.
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Telephone | 301-656-2027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0052312
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License Number State | MD
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