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General NPI Number Information
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NPI Number | 1043034697
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Entity Type | Individual
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Provider Name | TASHA JOHNSON MSN, CRNP FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 7416 CHURCH HILL RD
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City | CHESTERTOWN
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State | MD
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Zip | 21620-2808
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Country | US
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Telephone | 410-498-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 7416 CHURCH HILL RD STE 2
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City | CHESTERTOWN
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State | MD
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Zip | 21620-2808
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Country | US
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Telephone | 419-758-2178
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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 | R229253
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R229253
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License Number State | MD
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