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General NPI Number Information
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NPI Number | 1285993881
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Entity Type | Individual
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Provider Name | ICHOL DEBORAH AMBE
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1726 REISTERSTOWN RD STE 212
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City | PIKESVILLE
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State | MD
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Zip | 21208-2987
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Country | US
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Telephone | 443-501-3204
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Fax | 443-501-3043
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Provider Business Mailing Address
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Address Line | 13008 INNISBROOK DR
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City | BELTSVILLE
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State | MD
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Zip | 20705-1196
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Country | US
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Telephone | 301-281-3048
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN040061
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | A510328139430
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R221469
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License Number State | MD
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