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General NPI Number Information
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NPI Number | 1922585462
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Entity Type | Individual
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Provider Name | BANIS GITHINJI FNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 11101 GEORGIA AVE UNIT 559
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City | WHEATON
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State | MD
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Zip | 20902-7607
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Country | US
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Telephone | 240-575-0437
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Fax |
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Provider Business Mailing Address
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Address Line | 9420 ANNAPOLIS RD STE 213
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City | LANHAM
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State | MD
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Zip | 20706-3091
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Country | US
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Telephone | 240-930-7466
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Fax | 240-692-0126
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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 | R213835
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License Number State | MD
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