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General NPI Number Information
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NPI Number | 1033425004
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Entity Type | Individual
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Provider Name | JUVIANEE IBRAHIM ESTRADA-VERAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 4954 N PALMER RD BLDG 19 MCC, 3RD FLOOR, ROOM 3186
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City | BETHESDA
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State | MD
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Zip | 20889-5630
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Country | US
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Telephone | 301-295-4951
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Fax | 301-319-4757
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Provider Business Mailing Address
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Address Line | 4954 N PALMER RD BLDG 19 MCC, 3RD FLOOR, ROOM 3186
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City | BETHESDA
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State | MD
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Zip | 20889-5630
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Country | US
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Telephone | 301-295-4951
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Fax | 301-319-4757
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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 | 207SG0207X
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Taxonomy Name | Medical Biochemical Genetics
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License Number | D0082582
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0082582
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License Number State | MD
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