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General NPI Number Information
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NPI Number | 1407570666
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Entity Type | Individual
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Provider Name | RAJANA MANANDHAR
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Gender | Female
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 4660 KENMORE AVE STE 900
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1383
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Country | US
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Telephone | 703-307-4134
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Fax |
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Provider Business Mailing Address
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Address Line | 6309 DANA AVE
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City | SPRINGFIELD
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State | VA
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Zip | 22150-3317
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Country | US
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Telephone | 571-458-8423
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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 | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 0024185044
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License Number State | VA
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