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General NPI Number Information
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NPI Number | 1871381772
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Entity Type | Individual
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Provider Name | MARYAM SARKI BABALLE
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2512 24TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2126
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Country | US
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Telephone | 202-832-8340
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Fax |
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Provider Business Mailing Address
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Address Line | 9905 GOOD LUCK RD APT 203
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City | LANHAM
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State | MD
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Zip | 20706-3246
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Country | US
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Telephone | 412-726-4843
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Fax | 412-726-4843
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | R243297
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN1059903
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License Number State | DC
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