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General NPI Number Information
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NPI Number | 1851629695
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Entity Type | Organization
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Legal Business Name | MONTGOMERY HEALTH CENTER, LLC
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 1776 POWDER MILL RD
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City | SILVER SPRING
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State | MD
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Zip | 20903-1514
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Country | US
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Telephone | 301-434-0599
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Fax | 301-434-0157
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Provider Business Mailing Address
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Address Line | 20724 SUMMER SWEET TER
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City | GERMANTOWN
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State | MD
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Zip | 20876-3903
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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 | MANAGING PARTNER
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Name | MIHAI G SIRBU
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Credential |
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Telephone | 301-452-4062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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