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General NPI Number Information
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NPI Number | 1992860308
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Entity Type | Organization
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Legal Business Name | HEARTMASTERS MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 7700 OLD BRANCH AVE B205
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City | CLINTON
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State | MD
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Zip | 20735-1628
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Country | US
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Telephone | 307-877-4933
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Fax | 301-877-6963
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Provider Business Mailing Address
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Address Line | 1257 GERSTNER CT
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City | GAMBRILLS
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State | MD
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Zip | 21054-1935
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Country | US
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Telephone | 202-669-5821
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Fax | 410-721-4488
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. IEON LLOYD DAWSON
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Credential | M.D.,F.A.C.C.
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Telephone | 202-669-5821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | M39287
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License Number State | MD
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