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General NPI Number Information
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NPI Number | 1912177049
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Entity Type | Organization
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Legal Business Name | NATIONAL CAPITAL NEPHROLOGY, PC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW STE 208
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City | WASHINGTON
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State | DC
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Zip | 20010-2993
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Country | US
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Telephone | 301-537-5518
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Fax | 703-288-0536
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Provider Business Mailing Address
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Address Line | 7342 HOOKING RD
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City | MC LEAN
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State | VA
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Zip | 22101-2718
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Country | US
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Telephone | 301-537-5518
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Fax | 703-288-0536
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AROTI HEGDE
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Credential | M.D.
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Telephone | 301-537-5518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | D0059771
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 01011233819
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD31054
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License Number State | DC
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