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General NPI Number Information
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NPI Number | 1487185948
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Entity Type | Individual
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Provider Name | GHADAH AL-NAQEEB M.B.CH.B
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 10 CENTER DR MSC 1613 BUILDING 10 CRC - ROOM 6-3940
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-496-6087
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CENTER DR MSC 1613 BUILDING 10 CRC - ROOM 6-3940
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-496-6087
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD048195
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License Number State | DC
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