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General NPI Number Information
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NPI Number | 1649598244
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Entity Type | Individual
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Provider Name | PARTAM MANALAI M.D
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Gender | Male
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4453
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Country | US
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Telephone | 540-741-3900
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Fax | 703-369-8467
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Provider Business Mailing Address
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Address Line | 1765 GREENSBORO STATION PL STE 900
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City | MC LEAN
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State | VA
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Zip | 22102-3470
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Country | US
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Telephone | 703-505-1251
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101247384
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD039699
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 215248
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License Number State | NC
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