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General NPI Number Information
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NPI Number | 1134059082
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Entity Type | Organization
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Legal Business Name | NORTHWEST BRANCH PSYCHIATRY LLC
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 10770 COLUMBIA PIKE STE 3001301
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City | SILVER SPRING
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State | MD
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Zip | 20901-4402
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Country | US
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Telephone | 301-453-8679
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Fax | 301-453-8679
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Provider Business Mailing Address
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Address Line | 10770 COLUMBIA PIKE STE 3001301
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City | SILVER SPRING
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State | MD
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Zip | 20901-4402
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Country | US
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Telephone | 301-453-8679
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Fax | 301-453-8679
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT C MORAN
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Credential | MD
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Telephone | 301-453-8679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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