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General NPI Number Information
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NPI Number | 1932174455
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Entity Type | Organization
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Legal Business Name | NATIONAL CAPITAL CONSORTIUM
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Dates
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Enumeration Date | 02/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6900 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20307-0003
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Country | US
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Telephone | 202-782-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 10241 GREEN HOLLY TER
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City | SILVER SPRING
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State | MD
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Zip | 20902-5820
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Country | US
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Telephone | 301-592-1551
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. NEEL KUMARPAL VAIDYA
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Credential | M.D.
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Telephone | 202-782-6188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 0101238656
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License Number State | VA
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