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General NPI Number Information
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NPI Number | 1275077372
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Entity Type | Individual
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Provider Name | VONTRESE L SIMPSON APRN
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Gender | Female
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 10440 LITTLE PATUXENT PKWY STE 300
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City | COLUMBIA
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State | MD
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Zip | 21044-3648
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Country | US
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Telephone | 502-553-9710
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Fax |
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Provider Business Mailing Address
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Address Line | 300 REXBURG AVE
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-6103
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Country | US
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Telephone | 502-553-9710
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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 | 3009157
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024177446
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP130816
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R246642
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP1054476
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | TPAN2367
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License Number State | FL
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