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General NPI Number Information
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NPI Number | 1154039162
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Entity Type | Organization
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Legal Business Name | MORAYO MEDICAL LLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 12200 ANNAPOLIS RD STE 324
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City | GLENN DALE
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State | MD
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Zip | 20769-9184
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Country | US
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Telephone | 301-291-7077
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Fax | 301-291-7073
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Provider Business Mailing Address
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Address Line | 2702 SWANN WING CT
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City | GLENARDEN
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State | MD
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Zip | 20706-1683
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Country | US
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Telephone | 202-674-2576
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PATRICIA OSHODI
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Credential | MD
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Telephone | 202-674-2576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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