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General NPI Number Information
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NPI Number | 1982976122
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Entity Type | Individual
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Provider Name | LYNNETTE NIEMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 9309 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814-1620
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Country | US
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Telephone | 301-493-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CENTER DR, MSC 1109 BLDG 10/CRC, 1 EAST, RM 1-3140
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City | BETHESDA
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State | MD
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Zip | 20892-1109
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Country | US
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Telephone | 301-496-8935
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Fax | 301-402-0884
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 142923
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License Number State | NY
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