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General NPI Number Information
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NPI Number | 1689527897
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Entity Type | Individual
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Provider Name | DAUDA ALIMAMY MANSARAY
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Gender | Male
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 4319 57TH AVE APT 10
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City | BLADENSBURG
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State | MD
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Zip | 20710-1713
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Country | US
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Telephone | 240-527-0867
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Fax | 240-527-0867
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Provider Business Mailing Address
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Address Line | 4319 57TH AVE APT 10
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City | BLADENSBURG
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State | MD
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Zip | 20710-1713
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Country | US
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Telephone | 240-527-0867
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number | 12333
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License Number State | MD
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