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General NPI Number Information
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NPI Number | 1114405636
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Entity Type | Individual
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Provider Name | MICHELE-VERA YONGA CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 10 CENTER DR # B2L124
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City | BETHESDA
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State | MD
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Zip | 20892-3547
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Country | US
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Telephone | 301-273-4169
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Fax |
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Provider Business Mailing Address
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Address Line | 7452 BALTIMORE ANNAPOLIS BLVD
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3547
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Country | US
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Telephone | 443-374-5044
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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 | R205616
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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 | R205616
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License Number State | MD
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