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General NPI Number Information
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NPI Number | 1023763844
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Entity Type | Individual
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Provider Name | DR. MARYAM MILANIAN
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 9801 GEORGIA AVE STE 339
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City | SILVER SPRING
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State | MD
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Zip | 20902-5276
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Country | US
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Telephone | 301-962-3500
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Fax | 301-962-3700
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Provider Business Mailing Address
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Address Line | 9801 GEORGIA AVE STE 339
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City | SILVER SPRING
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State | MD
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Zip | 20902-5276
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Country | US
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Telephone | 301-962-3500
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Fax | 301-962-3700
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557783
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S04124
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License Number State | MD
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