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General NPI Number Information
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NPI Number | 1710554209
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Entity Type | Individual
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Provider Name | NOOR UL AIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2800 GODWIN BLVD
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City | SUFFOLK
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State | VA
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Zip | 23434-8038
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Country | US
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Telephone | 757-967-8622
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Fax |
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Provider Business Mailing Address
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Address Line | 3241 WESTERN BRANCH BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5260
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Country | US
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Telephone | 757-686-3508
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 57.250614
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101281562
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License Number State | VA
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