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General NPI Number Information
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NPI Number | 1497133748
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Entity Type | Individual
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Provider Name | VICTORIA ORIE BASSEY FAMILY NURSE PRACTIT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 4475 REGENCY PLACE STE 303
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City | WHITE PLAINS
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State | MD
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Zip | 20695-0000
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Country | US
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Telephone | 301-645-3420
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Fax | 301-265-0787
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Provider Business Mailing Address
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Address Line | 7350 VAN DUSEN RD STE 390
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City | LAUREL
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State | MD
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Zip | 20707-5231
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Country | US
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Telephone | 240-273-5404
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Fax | 301-265-0787
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R146618
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License Number State | MD
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