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General NPI Number Information
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NPI Number | 1669358602
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Entity Type | Individual
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Provider Name | LARAY ABRAHAM RDH, LE, IHC, LMT,CD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 8600 FOUNDRY STREET MAILBOX 2006 SUITE 043
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City | SAVAGE
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State | MD
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Zip | 20763
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Country | US
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Telephone | 443-510-7055
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 FOUNDRY STREET MAILBOX 2006 SUITE 043
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City | SAVAGE
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State | MD
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Zip | 20763
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Country | US
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Telephone | 443-510-7055
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 5944
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | M06893
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | MD
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