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General NPI Number Information
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NPI Number | 1982426359
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Entity Type | Organization
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Legal Business Name | WASHINGTON PMC CENTER LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 20271 GOLDENROD LN STE 2088
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City | GERMANTOWN
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State | MD
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Zip | 20876-4125
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Country | US
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Telephone | 202-531-3136
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Fax |
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Provider Business Mailing Address
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Address Line | 20271 GOLDENROD LN STE 2088
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City | GERMANTOWN
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State | MD
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Zip | 20876-4125
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Country | US
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Telephone | 202-531-3136
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHERRY DADGAR
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Credential | PH.D., FACMG
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Telephone | 202-531-3136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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