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General NPI Number Information
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NPI Number | 1932057809
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Entity Type | Individual
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Provider Name | MARYAM RBAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 26850 PROVIDENCE PKWY STE 325
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City | NOVI
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State | MI
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Zip | 48374-1260
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Country | US
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Telephone | 248-348-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 39115 LANCASTER DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-1659
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704395138
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License Number State | MI
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