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General NPI Number Information
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NPI Number | 1003464421
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Entity Type | Individual
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Provider Name | FLORENCE W GICHAIYA CRNP-FAMILY
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Gender | Female
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 630 S EXETER ST
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City | BALTIMORE
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State | MD
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Zip | 21202-4316
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Country | US
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Telephone | 410-962-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 3721 OAKFALLS WAY
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City | BALTIMORE
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State | MD
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Zip | 21236-4812
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Country | US
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Telephone | 443-600-7982
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R191926
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License Number State | MD
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