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General NPI Number Information
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NPI Number | 1033497771
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Entity Type | Individual
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Provider Name | JOSEPH D FAGBOHUN DNP,APRN,FNP-BC,NP-C
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Gender | Male
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 112 N 7TH ST
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1720
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Country | US
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Telephone | 717-217-4300
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Fax | 717-217-4217
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Provider Business Mailing Address
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Address Line | 785 5TH AVE STE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4232
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Country | US
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Telephone | 717-263-9555
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Fax | 717-709-6529
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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 | 733191
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R219135
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 733191
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN97119
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP018994
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN97119
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License Number State | WV
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R219135
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License Number State | MD
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