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General NPI Number Information
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NPI Number | 1972096071
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Entity Type | Individual
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Provider Name | DARYAN REI NAMBA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 12301 ACADEMY WAY
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City | ROCKVILLE
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State | MD
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Zip | 20852
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Country | US
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Telephone | 301-984-4444
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Fax | 301-881-8043
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Provider Business Mailing Address
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Address Line | 14901 BROCHART ROAD SUITE 2200
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-251-4500
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Fax | 803-434-4062
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | LL52658
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0096730
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License Number State | MD
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