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General NPI Number Information
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NPI Number | 1467319947
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Entity Type | Individual
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Provider Name | TARA LYNN STOUDT DNP, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 901 HARRY S TRUMAN DR NEONATAL ICU
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City | LARGO
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State | MD
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Zip | 20774
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Country | US
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Telephone | 240-677-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 901 HARRY S TRUMAN DR N
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City | LARGO
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State | MD
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Zip | 20774-5477
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Country | US
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Telephone |
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | R184787
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License Number State | MD
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