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General NPI Number Information
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NPI Number | 1083162960
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Entity Type | Individual
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Provider Name | YETUNDE PRECIOUS ROTIMI MSN, FNP-BC, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 7404 EXECUTIVE PL STE 400L2
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City | LANHAM
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State | MD
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Zip | 20706-2268
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Country | US
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Telephone | 240-647-5702
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Fax | 240-433-3269
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Provider Business Mailing Address
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Address Line | 7404 EXECUTIVE PL STE 400L2
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City | LANHAM
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State | MD
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Zip | 20706-2268
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Country | US
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Telephone | 240-647-5702
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Fax | 240-433-3269
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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 | R205788
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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 | R205788
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License Number State | MD
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