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General NPI Number Information
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NPI Number | 1689053712
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Entity Type | Individual
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Provider Name | MURAD M OMERY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3023 HAMAKER CT
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City | FAIRFAX
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State | VA
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Zip | 22031-2207
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Country | US
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Telephone | 703-848-6610
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Fax |
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Provider Business Mailing Address
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Address Line | 3023 HAMAKER CT
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City | FAIRFAX
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State | VA
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Zip | 22031-2207
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Country | US
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Telephone | 703-848-6610
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 0101286359
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | MD600004257
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License Number State | DC
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