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General NPI Number Information
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NPI Number | 1093683567
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Entity Type | Individual
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Provider Name | STACEY NICOLE OGBURN CRNP-PMH
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 9958 N MAIN ST
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City | BERLIN
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State | MD
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Zip | 21811-1076
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Country | US
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Telephone | 410-973-2820
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Fax | 410-973-2843
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Provider Business Mailing Address
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Address Line | PO BOX 1978
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City | SALISBURY
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State | MD
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Zip | 21802-1978
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Country | US
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Telephone | 410-749-1015
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Fax | 410-749-0654
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R185128
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License Number State | MD
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