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General NPI Number Information
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NPI Number | 1023831419
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Entity Type | Individual
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Provider Name | CARLA BEST-OTUBU NP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1445 HOWARD RD SE # LL
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City | WASHINGTON
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State | DC
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Zip | 20020-4406
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Country | US
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Telephone | 202-894-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 4028 JUMPERS HILL LN
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-1224
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Country | US
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Telephone | 301-343-9854
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R176666
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN1015657
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License Number State | DC
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