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General NPI Number Information
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NPI Number | 1255204459
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Entity Type | Individual
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Provider Name | HURLERE VIRGINE NDJOUSSI NP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 3611 BRANCH AVE STE 404
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-1251
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Country | US
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Telephone | 301-337-9642
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Fax |
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Provider Business Mailing Address
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Address Line | 11273 SUFFOLK DR
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City | HAGERSTOWN
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State | MD
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Zip | 21742-4054
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Country | US
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Telephone | 240-437-2133
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R237813
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License Number State | MD
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