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General NPI Number Information
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NPI Number | 1407655376
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Entity Type | Individual
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Provider Name | BAI F BANGURA
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Gender | Male
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 14606 DRIFTWOOD RD
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City | BOWIE
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State | MD
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Zip | 20721-3063
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Country | US
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Telephone | 240-814-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 2512 24TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2126
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Country | US
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Telephone | 202-832-8340
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN5000023638
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License Number State | DC
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