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General NPI Number Information
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NPI Number | 1255959185
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Entity Type | Individual
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Provider Name | TAREN ASHLEY LATNEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 8930 STANFORD BLVD
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City | COLUMBIA
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State | MD
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Zip | 21045-5805
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Country | US
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Telephone | 410-313-6359
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Fax |
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Provider Business Mailing Address
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Address Line | 16701 MELFORD BLVD STE 400
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City | BOWIE
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State | MD
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Zip | 20715-4411
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Country | US
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Telephone | 301-437-7781
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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 | R217790
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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 | R217790
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License Number State | MD
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