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General NPI Number Information
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NPI Number | 1790596203
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Entity Type | Individual
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Provider Name | NOOR PRINCESS TALIBAH PSYCH,D
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 440 MONTICELLO AVE STE STE 1802 PMB #443755
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City | NORFOLK
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State | VA
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Zip | 23510
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Country | US
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Telephone | 202-600-5265
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Fax |
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Provider Business Mailing Address
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Address Line | 440 MONTICELLO AVE STE STE 1802 PMB #443755
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City | NORFOLK
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State | VA
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Zip | 23510
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Country | US
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Telephone | 202-600-5265
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | DMH0E9D6
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 942020
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 766887
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License Number State | DC
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Taxonomy #7
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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