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General NPI Number Information
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NPI Number | 1932127453
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Entity Type | Individual
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Provider Name | MARTIN GREGORY DILLARD MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1160 VARNUM STREET NE SUITE 211
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City | WASHINGTON
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State | DC
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Zip | 20017-2149
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Country | US
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Telephone | 202-269-4200
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Fax | 202-865-7365
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Provider Business Mailing Address
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Address Line | 6 GREENTREE COURT
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City | BETHESDA
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State | MD
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Zip | 20817-1440
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Country | US
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Telephone | 301-365-4348
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Fax | 301-365-4348
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD4759
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License Number State | DC
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