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General NPI Number Information
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NPI Number | 1073334710
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Entity Type | Individual
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Provider Name | NADEGE MARIE LAURE NDJUIGA
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 301 HOSPITAL DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5803
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Country | US
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Telephone | 410-821-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 LIBERTY HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-8019
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Country | US
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Telephone | 410-292-0130
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | R211704
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License Number State | MD
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