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General NPI Number Information
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NPI Number | 1205709367
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Entity Type | Individual
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Provider Name | MAIMUNA BAH
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 13200 SILVER RD
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3042
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Country | US
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Telephone | 425-772-1245
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Fax |
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Provider Business Mailing Address
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Address Line | 13200 SILVER RD
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3042
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Country | US
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Telephone | 425-772-1245
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN.CNP.0038884
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN.443635
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License Number State | OH
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