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General NPI Number Information
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NPI Number | 1033766357
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Entity Type | Individual
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Provider Name | ROBEL TAJANLANGIT DABANDAN NP-C
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Gender | Male
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 4848 BATTERY LN STE 202
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City | BETHESDA
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State | MD
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Zip | 20814-2703
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Country | US
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Telephone | 240-204-7256
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Fax |
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Provider Business Mailing Address
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Address Line | 10001 VANDERBILT CIR APT 12
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City | ROCKVILLE
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State | MD
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Zip | 20850-4675
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Country | US
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Telephone | 240-271-9624
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AC003301
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License Number State | MD
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