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General NPI Number Information
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NPI Number | 1053217794
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Entity Type | Individual
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Provider Name | NASRA SAREVA MNDEME
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Gender | Female
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Dates
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Enumeration Date | 10/19/2026
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Last Update Date | 10/19/2026
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Provider Practice Location Address
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Address Line | 4850 CONNECTICUT AVE NW APT 426
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City | WASHINGTON
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State | DC
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Zip | 20008-5904
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Country | US
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Telephone | 227-259-6377
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 NORTHRIDGE LN
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City | FREDERICK
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State | MD
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Zip | 21702-3066
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Country | US
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Telephone | 612-623-0869
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | A00207239
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License Number State | MD
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