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General NPI Number Information
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NPI Number | 1962489757
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Entity Type | Organization
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Legal Business Name | JEMSEK SPECIALTY CLINIC
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 2440 M ST NW SUITE 205
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City | WASHINGTON
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State | DC
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Zip | 20037-1404
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Country | US
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Telephone | 704-913-3458
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Fax | 866-457-0397
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Provider Business Mailing Address
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Address Line | 2440 M ST NW SUITE 205
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City | WASHINGTON
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State | DC
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Zip | 20037-1404
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Country | US
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Telephone | 704-913-3458
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Fax | 866-457-0397
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH G JEMSEK
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Credential | MD
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Telephone | 202-955-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD038331
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License Number State | DC
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