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General NPI Number Information
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NPI Number | 1134525850
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Entity Type | Individual
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Provider Name | JOAN TILGHMAN NP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 2500 W NORTH AVE
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City | BALTIMORE
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State | MD
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Zip | 21216-3633
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Country | US
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Telephone | 301-868-1659
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Fax |
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Provider Business Mailing Address
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Address Line | 10211 MOUNT AUBURN DR
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City | CLINTON
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State | MD
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Zip | 20735-5826
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R119713
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License Number State | MD
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