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General NPI Number Information
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NPI Number | 1467655928
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Entity Type | Individual
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Provider Name | MARINA VLADA NEEDHAM CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 8901 ROCKVILLE PIKE WRNMMC, DEPARTMENT OF BEHAVIORAL HEALTH
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City | BETHESDA
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State | MD
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Zip | 20889
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Country | US
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Telephone | 301-295-4044
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Fax |
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Provider Business Mailing Address
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Address Line | WRNMMC DEPARTMENT OF BEHAVIORAL HEALTH/INPATIENT PSYCHIATRY
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-4095
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R120868
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License Number State | MD
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