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General NPI Number Information
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NPI Number | 1326116625
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Entity Type | Individual
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Provider Name | NEELIMA R MARPU M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 433810 CENTRAL STATION DR STE 160
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 301-519-2118
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Fax |
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Provider Business Mailing Address
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Address Line | 15825 SHADY GROVE RD SUITE 140
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City | ROCKVILLE
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State | MD
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Zip | 20850-4008
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Country | US
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Telephone | 301-869-9776
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Fax | 301-216-2592
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D73255
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101240939
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101240939
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License Number State | VA
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