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General NPI Number Information
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NPI Number | 1386327997
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Entity Type | Individual
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Provider Name | SANDRINE M. ATEMEKENG CRNP-PMH
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Gender | Female
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 5301 BUCKEYSTOWN PIKE STE 308
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City | FREDERICK
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State | MD
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Zip | 21704-8373
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Country | US
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Telephone | 240-422-9216
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Fax |
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Provider Business Mailing Address
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Address Line | 619 BUSHYTAIL DR
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City | FREDERICK
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State | MD
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Zip | 21703-2232
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Country | US
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Telephone | 240-386-9436
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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 | R206844
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License Number State | MD
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