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General NPI Number Information
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NPI Number | 1629694526
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Entity Type | Individual
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Provider Name | RAZIEH SHOORAB DC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 1712 I ST NW STE 110
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City | WASHINGTON
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State | DC
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Zip | 20006-3702
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Country | US
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Telephone | 202-257-1363
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Fax | 888-839-9091
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Provider Business Mailing Address
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Address Line | 200 OLDE TOWNE AVE APT 442
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City | GAITHERSBURG
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State | MD
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Zip | 20877-4371
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Country | US
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Telephone | 972-795-0799
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH030180
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License Number State | DC
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