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General NPI Number Information
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NPI Number | 1972796191
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Entity Type | Organization
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Legal Business Name | SANDRA I READ, MD
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 2021 K ST., NW, #508
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 202-223-6830
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Fax | 202-223-6833
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Provider Business Mailing Address
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Address Line | 2021 K ST., NW, #508
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City | WASHINGTON
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State | DC
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Zip | 20006-2368
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Country | US
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Telephone | 202-223-6830
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Fax | 202-223-6833
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA I READ
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Credential | MD
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Telephone | 202-223-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 12986
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License Number State | DC
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