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General NPI Number Information
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NPI Number | 1568047389
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Entity Type | Individual
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Provider Name | TABITHA WAMERE MBUGUA
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Gender | Female
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 680 BLAIR MILL RD
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City | HORSHAM
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State | PA
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Zip | 19044-2223
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Country | US
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Telephone | 302-521-0763
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Fax |
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Provider Business Mailing Address
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Address Line | 222 DELAWARE ST STE BOXA
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City | HISTORIC NEW CASTLE
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State | DE
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Zip | 19720-4855
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Country | US
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Telephone | 302-568-7549
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0011592
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License Number State | DE
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