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General NPI Number Information
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NPI Number | 1073155248
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Entity Type | Individual
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Provider Name | SIMILADE ADETUNJI
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Gender | Female
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1600 BELLE DR
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1147
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Country | US
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Telephone | 240-401-5260
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Fax | 240-425-4255
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Provider Business Mailing Address
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Address Line | 1600 BELLE DR
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1147
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Country | US
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Telephone | 240-506-2011
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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 | 212163
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP1044291
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 212163
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License Number State | MD
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