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General NPI Number Information
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NPI Number | 1467651117
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Entity Type | Individual
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Provider Name | NEHA NAYYAR M.D
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | CIRCLE BROOK DRI VE 3323 APT F PEBBLE CREEK APTS
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City | ROANOKE
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State | VA
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Zip | 24018-8253
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Country | US
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Telephone | 267-357-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 3323 CIRCLE BROOK DR APT F PEBBLE CREEK APTS
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City | ROANOKE
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State | VA
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Zip | 24018-8253
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Country | US
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Telephone |
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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 | 0116019063
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License Number State | VA
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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 | D74150
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD040837
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 44303
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A114254
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License Number State | CA
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