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General NPI Number Information
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NPI Number | 1720507593
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Entity Type | Individual
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Provider Name | JOYTI JIANDANI
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Gender | Female
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 3261 OLD WASHINGTON RD STE 2020
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City | WALDORF
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State | MD
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Zip | 20602-3231
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Country | US
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Telephone | 800-610-6558
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 441713
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City | FORT WASHINGTON
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State | MD
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Zip | 20749-1713
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Country | US
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Telephone |
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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 | 374700000X
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Taxonomy Name | Technician
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License Number | RBT-17-39250
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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