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General NPI Number Information
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NPI Number | 1649755745
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Entity Type | Individual
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Provider Name | MIRIAN SILVA NAYBOR CPHT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 5614 FLAG RUN DR
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City | SPRINGFIELD
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State | VA
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Zip | 22151-2725
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Country | US
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Telephone | 301-448-6801
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Fax |
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Provider Business Mailing Address
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Address Line | 5614 FLAG RUN DR
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City | SPRINGFIELD
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State | VA
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Zip | 22151-2725
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Country | US
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Telephone | 301-448-6801
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 30049861
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License Number State | VA
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