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General NPI Number Information
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NPI Number | 1881861078
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Entity Type | Organization
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Legal Business Name | WOODSIDE PEDIATRICS, LLC
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 7305 BALTIMORE AVE SUITE 104
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3234
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Country | US
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Telephone | 301-277-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 8830 CAMERON CT SUITE 401
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City | SILVER SPRING
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State | MD
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Zip | 20910-4114
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Country | US
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Telephone | 301-565-9600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JANET LOUISE ADAMS
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Credential | M.D.
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Telephone | 301-565-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0027273
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License Number State | MD
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