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General NPI Number Information
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NPI Number | 1902246481
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Entity Type | Individual
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Provider Name | LADAN DAVALLOW GHAJAR MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 8401 MAYLAND DR STE S
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 571-480-6053
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Fax | 804-660-6321
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR STE S
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 571-480-6053
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Fax | 804-660-6321
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 0101260059
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License Number State | VA
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