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General NPI Number Information
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NPI Number | 1992166862
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Entity Type | Individual
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Provider Name | NAMARIG SOUMIT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 6401 AMERICA BLVD STE 200
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City | HYATTSVILLE
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State | MD
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Zip | 20782-2357
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Country | US
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Telephone | 855-910-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 10980 GRANTCHESTER WAY
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City | COLUMBIA
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State | MD
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Zip | 21044-6097
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO210012338
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0097387
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102208366
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS019914
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License Number State | PA
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