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General NPI Number Information
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NPI Number | 1205455029
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Entity Type | Individual
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Provider Name | LATOYA HARVEY
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Gender | Female
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Dates
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Enumeration Date | 04/11/2020
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 8408 ADLER CT
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1771
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Country | US
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Telephone | 240-667-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 11694 OUTLAW GAP PL
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City | WALDORF
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State | MD
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Zip | 20602-5165
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Country | US
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Telephone | 240-350-0369
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R176717
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN1010947
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License Number State | DC
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