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General NPI Number Information
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NPI Number | 1861736860
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Entity Type | Individual
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Provider Name | CANDACE KADHIM R.N.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 4301 JONES BRIDGE RD
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City | BETHESDA
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State | MD
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Zip | 20814-4712
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Country | US
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Telephone | 724-799-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 301 W EDMONSTON DR
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City | ROCKVILLE
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State | MD
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Zip | 20852-1219
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Country | US
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Telephone | 724-799-5444
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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 | RN532304
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License Number State | PA
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