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General NPI Number Information
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NPI Number | 1326647793
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Entity Type | Individual
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Provider Name | MARIA GUERMAN
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Gender | Female
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Dates
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Enumeration Date | 10/18/2020
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Last Update Date | 10/18/2020
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Provider Practice Location Address
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Address Line | 6171 EXECUTIVE BLVD
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-3901
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Country | US
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Telephone | 240-447-0989
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 BALTIMORE RD APT 7
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City | ROCKVILLE
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State | MD
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Zip | 20853-2411
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Country | US
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Telephone | 240-447-0989
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | M05270
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License Number State | MD
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