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NPI 1972303154

NPI 1972303154 : WASHINGTON NEPHROLOGY ASSOCIATES, L.L.P. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1972303154
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    Entity Type          |    Organization 
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    Legal Business Name  |    WASHINGTON NEPHROLOGY ASSOCIATES, L.L.P. 
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Dates
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    Enumeration Date     |    03/17/2025
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    Last Update Date     |    03/17/2025
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Provider Practice Location Address
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    Address Line         |    5445 LOCH RAVEN BLVD STE 208 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21239-2940
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    Country              |    US
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    Telephone            |    410-855-4447
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    Fax                  |    410-855-4474
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Provider Business Mailing Address
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    Address Line         |    1201 SEVEN LOCKS RD STE 200A 
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    City                 |    ROCKVILLE
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    State                |    MD
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    Zip                  |    20854-2931
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    Country              |    US
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    Telephone            |    301-907-3939
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    Fax                  |    301-656-3943
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Authorized Official
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    Title or Position    |    CREDENTIALS COORDINATOR
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    Name                 |     LINDA  LANGFORD 
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    Credential           |    
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    Telephone            |    301-907-3939
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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       |    
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    License Number State |    
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