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General NPI Number Information
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NPI Number | 1144114133
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Entity Type | Individual
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Provider Name | SUPRIYA PANDIT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 44330 PREMIER PLZ
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City | ASHBURN
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State | VA
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Zip | 20147-5070
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Country | US
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Telephone | 301-517-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 15310 BRIARCLIFF MANOR WAY
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City | BURTONSVILLE
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State | MD
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Zip | 20866-1695
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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