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General NPI Number Information
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NPI Number | 1184981300
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Entity Type | Individual
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Provider Name | GUSSIE A ASSAM FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1 RESEARCH CT STE 450
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City | ROCKVILLE
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State | MD
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Zip | 20850-6252
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Country | US
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Telephone | 888-803-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 BELCREST CENTER DR # 1083
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City | HYATTSVILLE
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State | MD
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Zip | 20782-1912
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R204804
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024175405
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R204804
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95035461
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP500014343
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License Number State | DC
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