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General NPI Number Information
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NPI Number | 1730511981
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Entity Type | Individual
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Provider Name | ESABELLA MAH TEBID MBAH APRN
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Gender | Female
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 9801 GREENBELT RD STE 104
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City | LANHAM
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State | MD
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Zip | 20706-6204
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Country | US
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Telephone | 202-257-2130
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Fax |
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Provider Business Mailing Address
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Address Line | 4512 DOCTOR BEANS LEGACY CIR
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City | BOWIE
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State | MD
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Zip | 20720-6384
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Country | US
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Telephone | 202-257-2130
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1009165
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R174293
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License Number State | MD
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