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General NPI Number Information
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NPI Number | 1356228746
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Entity Type | Organization
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Legal Business Name | ORGANIK NORDAZ LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 4562 BEECH RD
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-6704
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Country | US
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Telephone | 301-423-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 4562 BEECH RD
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-6704
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Country | US
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Telephone | 301-423-1799
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Fax |
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Authorized Official
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Title or Position | MANGER
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Name | NORDA NICOLE BRYAN
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Credential | CEO
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Telephone | 301-423-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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