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General NPI Number Information
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NPI Number | 1003166331
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Entity Type | Individual
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Provider Name | DR. TAMMERA NELSON
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-295-4497
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Fax |
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Provider Business Mailing Address
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Address Line | 6260 CRAIN HIGHWAY
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City | LAPLATA
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State | MD
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Zip | 20646
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202208380
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18669
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH025035
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License Number State | GA
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