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General NPI Number Information
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NPI Number | 1437032380
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Entity Type | Individual
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Provider Name | DENIS TELEMACUS TAPONJU CNA
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2255 CRAIN HWY STE 202
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City | WALDORF
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State | MD
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Zip | 20601-3190
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Country | US
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Telephone | 786-788-5080
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Fax | 786-788-5084
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Provider Business Mailing Address
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Address Line | 2255 CRAIN HWY STE 202
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City | WALDORF
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State | MD
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Zip | 20601-3190
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Country | US
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Telephone | 786-788-5080
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Fax | 786-788-5084
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | A00212326
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License Number State | MD
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