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General NPI Number Information
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NPI Number | 1992292130
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Entity Type | Individual
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Provider Name | SORAIYA THURA MD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 8138 WATSON ST
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City | MC LEAN
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State | VA
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Zip | 22102-4416
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Country | US
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Telephone | 410-870-7942
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Fax | 703-827-5539
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Provider Business Mailing Address
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Address Line | 2661 RIVA RD STE 1030
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7131
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Country | US
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Telephone | 410-571-8733
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME156393
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License Number State | FL
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