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General NPI Number Information
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NPI Number | 1982476248
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Entity Type | Organization
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Legal Business Name | BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 1701 CLARENDON BLVD STE 120
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City | ARLINGTON
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State | VA
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Zip | 22209-4800
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Country | US
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Telephone | 703-566-6359
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Fax |
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Provider Business Mailing Address
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Address Line | 10215 FERNWOOD RD STE 506
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City | BETHESDA
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State | MD
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Zip | 20817-1184
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Country | US
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Telephone | 301-530-1010
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Fax | 301-897-8597
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF OPERATIONS
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Name | CHUCK GRASMEDER
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Credential |
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Telephone | 240-482-2412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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