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General NPI Number Information
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NPI Number | 1568347797
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Entity Type | Individual
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Provider Name | MARIA DELMIRA MENDOZA MSN, APRN, CPNP-PC/A
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Gender | Female
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2401 W BELVEDERE AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5216
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Country | US
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Telephone | 401-601-4399
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Fax |
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Provider Business Mailing Address
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Address Line | 807 SOMERSET PL
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3114
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Country | US
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Telephone | 301-385-1905
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R243248
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP1052732
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R243248
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R243248
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License Number State | MD
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