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General NPI Number Information
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NPI Number | 1265798789
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Entity Type | Individual
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Provider Name | FATIMA NOORANI M.D
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Gender | Female
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1307 DOLLEY MADISON BLVD STE 3C
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City | MC LEAN
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State | VA
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Zip | 22101-3913
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Country | US
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Telephone | 703-708-4477
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Fax | 866-549-3554
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Provider Business Mailing Address
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Address Line | 1307 DOLLEY MADISON BLVD STE 3C
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City | MC LEAN
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State | VA
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Zip | 22101-3913
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Country | US
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Telephone | 703-708-4477
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Fax | 866-549-3554
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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 | 0101261256
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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 | MD041921
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License Number State | DC
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