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General NPI Number Information
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NPI Number | 1710214846
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Entity Type | Individual
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Provider Name | MUHAMMAD ATIQUE M.D
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Gender | Male
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 2700 MARTIN LUTHER KING JR AVE SE CT-3A ADMINISTRATION BUILDING
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City | WASHINGTON
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State | DC
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Zip | 20032-2601
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Country | US
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Telephone | 202-645-5464
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Fax | 202-645-7377
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Provider Business Mailing Address
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Address Line | 5425 N MORGAN ST APT. 102
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5528
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Country | US
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Telephone | 703-380-0273
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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 | MD037482
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License Number State | DC
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