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General NPI Number Information
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NPI Number | 1316233786
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Entity Type | Individual
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Provider Name | MAHSHEED TAEB D.O
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Gender | Female
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 443-471-6427
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Fax |
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Provider Business Mailing Address
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Address Line | 8168 TAMAR DR
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City | COLUMBIA
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State | MD
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Zip | 21045-2896
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Country | US
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Telephone | 443-471-6427
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | AF2495150-3544
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License Number State | VA
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