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General NPI Number Information
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NPI Number | 1215218854
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Entity Type | Individual
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Provider Name | SHERIN MOIDEEN MD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 3900 WESTERRE PKWY STE 300
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City | RICHMOND
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State | VA
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Zip | 23233-1339
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Country | US
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Telephone | 804-336-2885
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Fax | 804-315-2341
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Provider Business Mailing Address
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Address Line | 3900 WESTERRE PKWY STE 300
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City | RICHMOND
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State | VA
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Zip | 23233-1339
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Country | US
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Telephone | 804-336-2885
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Fax | 804-315-2341
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101258089
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD210001614
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License Number State | DC
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