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General NPI Number Information
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NPI Number | 1386024776
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Entity Type | Individual
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Provider Name | DATRELL WARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3574
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Country | US
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Telephone | 443-481-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 MEDICAL PKWY STE 409
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3746
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Country | US
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Telephone | 443-481-1000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MT209018
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License Number State | PA
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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 | D96088
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License Number State | MD
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