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General NPI Number Information
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NPI Number | 1982994919
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Entity Type | Individual
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Provider Name | MARIANNA PAPADEMETRIOU
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Gender | Female
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 301-257-8071
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Fax |
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Provider Business Mailing Address
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Address Line | 50 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20422-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD460061
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License Number State | PA
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