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General NPI Number Information
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NPI Number | 1225976855
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Entity Type | Individual
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Provider Name | MARIAM ELSHARNOBY
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Gender | Female
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 78 MEDICAL CENTER DR
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2332
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Country | US
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Telephone | 540-245-7987
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Fax |
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Provider Business Mailing Address
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Address Line | 2975 HUNTERS BRANCH RD UNIT 436 APT 436
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City | FAIRFAX
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State | VA
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Zip | 22031-6075
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Country | US
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Telephone | 571-325-4477
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NA
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License Number State | VA
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