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General NPI Number Information
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NPI Number | 1417797853
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Entity Type | Organization
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Legal Business Name | ELIZABETH NYANG
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 1 RESEARCH CT STE 450
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City | ROCKVILLE
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State | MD
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Zip | 20850-6252
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Country | US
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Telephone | 301-693-5410
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Fax | 301-519-8000
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Provider Business Mailing Address
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Address Line | 1 RESEARCH CT STE 450
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City | ROCKVILLE
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State | MD
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Zip | 20850-6252
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Country | US
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Telephone | 301-693-5410
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER
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Name | DR. ELIZABETH NYANG
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Credential | LCPC
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Telephone | 301-693-5410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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