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General NPI Number Information
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NPI Number | 1629132956
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Entity Type | Individual
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Provider Name | LENA N NAFFAA M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 4940 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-2735
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Country | US
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Telephone | 410-550-5568
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-955-0000
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | ME144217
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | D0103652
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 35-086876
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License Number State | OH
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