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General NPI Number Information
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NPI Number | 1285996934
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Entity Type | Individual
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Provider Name | MRS. ENJOH MILDRATE SANJE YOKWAN
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Gender | Female
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 516 N ROLLING RD STE 305
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City | CATONSVILLE
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State | MD
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Zip | 21228-4142
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Country | US
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Telephone | 240-706-1203
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Fax | 979-606-0062
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Provider Business Mailing Address
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Address Line | 1212 LAWLER DR
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City | FREDERICK
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State | MD
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Zip | 21702-2158
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Country | US
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Telephone | 240-706-1203
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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 | R232145
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License Number State | MD
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