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General NPI Number Information
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NPI Number | 1598281818
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Entity Type | Individual
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Provider Name | MUHAMMAD ABDUL-RAHEEM
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Gender | Male
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 9135 PISCATAWAY RD
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City | CLINTON
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State | MD
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Zip | 20735-2549
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Country | US
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Telephone | 240-348-7860
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Fax |
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Provider Business Mailing Address
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Address Line | 7902 BARCLAY PL
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3452
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Country | US
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Telephone | 13012831659
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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 | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number | 1042663
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License Number State | MD
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