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General NPI Number Information
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NPI Number | 1992101356
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR SPECIALISTS OF GERMANTOWN LLC
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 97 THOMAS JOHNSON DR STE 100
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City | FREDERICK
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State | MD
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Zip | 21702-4379
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Country | US
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Telephone | 240-494-6884
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Fax | 844-819-1869
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Provider Business Mailing Address
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Address Line | 97 THOMAS JOHNSON DR STE 100
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City | FREDERICK
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State | MD
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Zip | 21702-4379
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Country | US
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Telephone | 240-494-6884
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Fax | 844-819-1869
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Authorized Official
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Title or Position | OWNER
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Name | SARA MEKONNEN MEKURIA
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Credential | MD
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Telephone | 240-815-6644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D69671
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License Number State | MD
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