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General NPI Number Information
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NPI Number | 1053633768
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Entity Type | Organization
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Legal Business Name | LANHAM INTERNAL MEDICINE ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 7205 HANOVER PKWY STE B
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City | GREENBELT
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State | MD
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Zip | 20770-2012
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Country | US
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Telephone | 301-459-1691
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Fax | 301-577-2473
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Provider Business Mailing Address
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Address Line | 9470 ANNAPOLIS RD SUITE 306
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City | LANHAM
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State | MD
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Zip | 20706-3025
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Country | US
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Telephone | 301-459-1691
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Fax | 301-577-2473
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Authorized Official
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Title or Position | OWNER
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Name | REXFORD BABILAH
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Credential | MD
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Telephone | 301-459-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D66658
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License Number State | MD
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