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General NPI Number Information
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NPI Number | 1902245798
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Entity Type | Individual
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Provider Name | LABAN ERIC TSUMA MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 10810 CONNECTICUT AVE # 201
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City | KENSINGTON
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State | MD
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Zip | 20895-2138
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Country | US
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Telephone | 303-929-7100
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Fax | 301-929-7204
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Provider Business Mailing Address
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Address Line | 2101 E JEFFERSON ST STE 6W
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City | ROCKVILLE
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State | MD
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Zip | 20852-4908
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Country | US
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Telephone | 240-771-5202
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101260573
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35649
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD045909
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D84866
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | D84866
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License Number State | MD
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